• Yang Liu, Ruijun Li, Zhigang Liu, Shuang Wang, and Laijin Lu.
• Department of Hand and Foot Surgery, The First Hospital of Jilin University, Changchun, Jilin, China.
• Medicine (Baltimore). 2019 Feb 1; 98 (5): e14343.

RationaleIntramuscular hemangiomas are rare benign vascular neoplasms, merely accounting for 0.8% of all hemangiomas. Moreover, there are few case reports of intramuscular hemangiomas in the upper extremities.Patient ConcernsA 24-year-old male patient presented with a 5-year history of intermittent pain of the right elbow joint. He had observed a swelling of the right cubital fossa over the past 2 years, leading to the limitations of elbow extension and forearm pronation.DiagnosisThe patient was diagnosed with intramuscular hemangioma of the biceps brachii.InterventionsSurgical excision of the tumor was performed for this patient and postoperative early functional exercises were permitted.OutcomesThe movements of the right elbow and forearm reached the normal range of motion at 5 weeks after surgery. There was no evidence of recurrence during the 5-month follow-up.LessonsOptimal management of intramuscular hemangioma is critical, including precise evaluation, good microsurgical technique and early functional exercises, which may result in a satisfying outcome.

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