Glomangioma of the upper limb associated with hypoplastic-dysplastic superficial venous system.

The diagnosis and therapy of vascular malformations is difficult. An important factor, which influences the therapeutic approach, is the complicated vascular network of the lesions. The frequent involvement of various structures (muscles, bones or other organs) makes the surgical intervention arduous. Glomus tumors are rare, symptomatic (painful) lesions, with dimensions ranging 3-10 mm and usually subungual location, which need radical resection as a therapy. The case we present is the first one where a glomus tumor presents as a hypoplastic-dysplastic superficial venous system, located parallel to the normal superficial venous system of the left upper extremity, resembling a form of varicosities. The atypical clinical presentation and the unique morphology classify this case in a very limited category of nosological entities.

Spontaneous healing of chylous ascites after abdominal aortic aneurysm repair.

Postoperative chylous ascites is a rare complication of aortic surgery. This report presents a patient with chylous ascites after abdominal aneurysmectomy. After a retrospective analysis of full blood count measurements, we observed an association between the number of lymphocytes in the patient's total blood count and the development and evaluation of chylous ascites. We believe that this hypothesis might be helpful, as it suggests that the number of lymphocytes in a patient's total blood count may be used as a prognostic factor for the development of chylous ascites. Furthermore, our patient appears to be of interest from a therapeutical point of view, since repeated therapeutic paracenteses alone were sufficient in treating chylous ascites, a finding in contradiction to international literature.