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Andronnikov E.A., Alekseeva T.V., Drandrov R.N., Kuz'mina V.A.


Federal Center for Traumatology, Orthopedics and Arthroplasty. Cheboksary, Russia.



Purpose. To demonstrate the limitations of modern methods of complex radiology diagnostics in case of rare localization of lymphangioma using the example of a clinical case.

Material and methods. The stages of clinical, radiological and laboratory examinations in the diag-nosis of peroneal nerve lymphangioma were analyzed according to the history of a 47-year-old patient.

Results. During the examination of the patient, changes in the peroneal nerve were revealed: ultrasound examination revealed structural changes; on MRI examination – cystic transformation of the peroneal nerve, atrophic changes in the long peroneal muscle, in the long extensor of the fingers and in the anterior tibial muscle; with electroneuromyography – gross axonal motor and sensory neu-ropathy of the right peroneal nerve. In a specialized institution, the patient underwent surgical treat-ment in the amount of microsurgical removal of the tumor of the right peroneal nerve upper third with one-stage autoplasty of N. suralis. According to the results of histological examination of the removed mass, peroneal nerve lymphangioma was diagnosed. At the follow-up examination (3 months after the operation), there were no data for tumor recurrence; according to ENMG, signs of gross axonal motor and sensory neuropathy of the right peroneal nerve were preserved.

Discussion. The uniqueness of the case is due to the discrepancy between the avascular pic-ture of the neoplasm revealed by color Doppler mapping and the traditional characteristics of lym-phangiomas.

Conclusions. The complexity of diagnosing and verifying lymphangioma of the peroneal nerve requires the use of complex research methods and a mandatory assessment of the results of surgical treatment in dynamics. MRI diagnostics can be recommended as the most informative method for de-tecting this pathology. In a number of clinical cases, the possibilities of modern complex radiology di-agnostics in lymphangiomas of atypical localization are limited. In such situations, the final diagnosis can be established only after biopsy and histochemical examination of the intraoperative material..


Keywords: lymphatic transformation, lymphangioma, peroneal nerve, neuropathy, radiaology diagnostics, functional diagnostics, ganglion, hygroma.



Corresponding author: Andronnikov E.A., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript


For citation: Andronnikov E.A., Alekseeva T.V., Drandrov R.N., Kuz'mina V.A. Clinical example of non-informative complex radiological examination in case of lymphangioma of the peroneal nerve. REJR 2023; 13(1):162-169. DOI: 10.21569/2222-7415-2023-13-1-162-169.

Received: 20.06.22

Accepted: 19.01.23