A 34-year-old man consulted for this dark blue lesion on his right lumbar area. The lesion was traumatized by his chest and became darker 2 weeks before the consult.
Dermoscopy revealed several blue dark blue smooth-bordered round to oval variously sized structures in favor of a lacunar pattern (also named saccular pattern)
The lesion was removed and pathology revealed a thrombosed hemangioma.