case_images: PMC8112364_01
case_images: Swelling on the thenar aspect of the right palm
case_images: NJS-27-75-g001.jpg
case_images: PMC8112364_01_NJS-27-75-g001.jpg
case_images: F1
case_images: A 42-year-old male farmer from the rural outskirts of Ranchi, Jharkhand, presented to the general surgery outpatient department of our hospital with the complaint of a painless swelling in the right palm for the past 2 years [Figure 1].
case_images: Magnetic resonance imaging (T2-weighted) showing a well-defined, sharply demarcated, heterogeneously hyperintense lesion
case_images: NJS-27-75-g002.jpg
case_images: PMC8112364_01_NJS-27-75-g002.jpg
case_images: F2
case_images: Magnetic resonance imaging (MRI) of the hand and wrist revealed a well-defined, sharply demarcated, heterogeneously hyperintense lesion of size 6 cm x 3 cm on proton density and T2-weighted images and hypointense on T1-weighted seen along the thenar eminence of the right hand with widening of space between the first and second metacarpals suggestive of a space-occupying lesion (SOL) in the hand with a benign pathology [Figure 2].
case_images: (a) Intraoperative view of the lesion while dissection. (b) Specimen after complete excision
case_images: NJS-27-75-g003.jpg
case_images: PMC8112364_01_NJS-27-75-g003.jpg
case_images: F3
case_images: After careful dissection and identification of the digital nerve and vessels, an 8.0 cm x 2.5 cm x 2.5 cm lobulated mass was seen to be arising from a digital nerve in the thenar eminence, which was excised in toto via blunt dissection [Figure 3a and b].
case_images: Image of the right hand after 3 weeks of surgical excision of the space-occupying lesion
case_images: NJS-27-75-g004.jpg
case_images: PMC8112364_01_NJS-27-75-g004.jpg
case_images: F4
case_images: The wound was healed properly, and there was no complaint of paresthesia or any evidence of recurrence [Figure 4].