The term “hemangioma” has been incorrectly applied to a wide variety of vascular lesions. Hemangiomas are true vascular neoplasms with evidence of increased endothelial cell turnover. This case had a variety of anatomical positions meaning that every interventionist and orthopedic had a problem in treating and The occurrence of Kasabach-Merit syndrome adds to the complexity of the matter. Case presentation: a 29-year-old man with an eight years history of a round red lesion on his buttock that progressed and become a huge mass so the orthopedic surgeon could not excise the lesion the first time. After the first unsuccessful surgery, there was a disturbance in the patient's blood tests, and the patient was diagnosed with Kasabach Merit.In this case, we had some problems with anatomy and when we occluded the main artery by CT-guided interventions, a small particle detached from the artery and made the pulmonary emboli. After this intervention, the mass lesion had been excised successfully
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