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Case Reports in Dentistry
Volume 2014, Article ID 285834, 4 pages
Case Report

Intramuscular Haemangioma with Diagnostic Challenge: A Cause for Strange Pain in the Masseter Muscle

1Department of Oral Medicine & Radiology, SRM Dental College, Bharathi Salai, Ramapuram, Chennai, Tamil Nadu 600 089, India
2Department of Oral Medicine & Radiology, Faculty of Dental Sciences, Sri Ramachandra University, Porur, Chennai, Tamil Nadu 600 116, India
3Department of Radiology & Imaging Science, Sri Ramachandra University, Porur, Chennai,Tamil Nadu 600 116, India

Received 28 December 2013; Accepted 21 May 2014; Published 5 June 2014

Academic Editor: Andrea Ferri

Copyright © 2014 Krithika Chandrasekar Lakshmi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Intramuscular hemangiomas are unique vascular tumors which are benign in nature, most commonly occurring in the trunk and extremities. When present in head and neck, they most frequently involve the masseter and trapezius muscles, accounting for less than 1% of all hemangiomas. Most of these lesions present with pain and discomfort and some patients may demonstrate progressive enlargement. Due to their infrequency, deep location, and unfamiliar presentation, these lesions are seldom correctly diagnosed clinically. Our report is a clinically misdiagnosed case of a painful soft tissue mass in the right side masseteric region of a 23-year-old female patient, confirmed as intramuscular hemangioma based on imaging studies and histopathologic examination, treated by surgical excision which had no recurrence after a 3-year followup.