PMC6077650_01
(a) Extremely large port wine stain/hemangioma extending from the right flank to midthigh with superficial excoriations. (b) Toes enlarged to about 5 cm in width and overlapping with each other. (c) Midline laparotomy scar along with multiple other scars from the debridements.
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On examination, she had an extremely large port wine stain extending from the right flank to midthigh with superficial excoriations (Figure 1(a)). The toes were enlarged to about 5 cm in width and were overlapping with each other (Figure 1(b)). Over her abdomen she had a midline laparotomy scar that had healed along with multiple other scars from the debridements (Figure 1(c)).
MRI images depicting. (a) Marked hemihypertrophy of the subcutaneous soft tissues on the right side at the level of the lower abdomen. (b) Marked hemihypertrophy of the subcutaneous soft tissues on the right thigh as compared to the left (normal). (c) Numerous venous channels were noted to cross at the potential epidural injection sites from L1 to L5. The thickness from the skin to the thecal space was 9.4 cm.
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An MRI of the abdomen and pelvis performed revealed marked hemihypertrophy of the subcutaneous soft tissues on the right side at the level of the lower abdomen (Figure 2(a)); pelvis and buttock and thigh region (Figure 2(b)), which contain innumerable venous vascular malformations and varicosities. The thickness from the skin to the thecal space was 9.4 cm (Figure 2(c)).
PMC6077650_02