WHILE cavernous hemangiomas are a relatively common entity in dermatologic practice, their association with congenital arteriovenous fistula is rare; therefore, the following case is reported as one of considerable interest:
A 16-year-old white boy was first seen on Nov. 26, 1951, complaining of a painful ulcerated condition on the right buttock. His mother stated that there had been a birthmark covering most of the buttock since his birth. It had never been treated and had not troubled him in any way previously; neither had it disappeared spontaneously.
On examination there was a large hemangioma covering the medial two-thirds of the right buttock with several areas of shallow ulceration and crusting centrally. At this time it was felt that the patient had an old, infected, superficial and deep type of vascular nevus.
He was given treatment consisting of 100 r x-ray therapy with 6 ma., 2 mm.