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A 5-year-old girl, previously reported in literature [1], was admitted to the emergency room because of swelling of the right knee and a painful right calf. The swelling began 6 months before the visit, when she suffered a minor fall and was not able to walk. The symptom progressively worsened, with recurrent exacerbations following minor traumas. The pain was neither radiating nor accompanied by fever, and the swelling did not subside after rest. A first plain radiograph of the patient’s knee was normal, while the MRI showed a large solitary soft-tissue mass in the suprapatellar recess of the right knee. Arthroscopy with biopsy was performed, which resulted in a diagnosis of IAVM. The lesion was excised with a combination of arthrotomy and debridement of the overlying skin. The histopathologic features were identical to those of literature reports. The lesion was not re-excised, as further surgery was not required for the patient’s symptoms. At 11 years follow-up, no recurrence has been observed.
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