Digital Arteriovenous Malformation. An Uncommon Finding: A Case Report
DOI:
https://doi.org/10.48729/pjctvs.490Keywords:
arteriovenous malformation, hand, case report, traumaAbstract
Vascular malformations (VMs) are dysplastic abnormalities of vascular channels, differing from vascular tumors by their slow growth. Arteriovenous malformations (AVMs) arise between weeks 4-10 of intrauterine life, with a prevalence of 1 in 100,000 among Caucasians. Common in the head, neck, and hands, AVMs may be asymptomatic or cause symptoms like pain, deformity, and disability. Treatments range from conservative management to amputation in severe cases. A 28-year-old male with finger trauma was found to have a vascular tumor, later diagnosed as an arteriovenous malformation, surgically removed and confirmed by histopathology. Angiography is the gold standard for diagnosing AVMs, though imaging and physical exams are often sufficient. Conservative management is preferred for minor symptoms, with surgery reserved for severe cases. Surgical intervention carries risks, especially for diffuse lesions. Treatment for hand AVMs is challenging, requiring specialized expertise due to the hand’s complex anatomy.Downloads
References
Reyes-González KF, Armas-Girón LF, Pineda-Aldana GB. Malformación arteriovenosa en segundo dedo de mano. Cirugia Plast [Internet]. 2021 [consultado el 9 de agosto de 2024];31(3):111-5. Disponible en: https://doi.org/10.35366/103713
Aihole JS. A case of arteriovenous malformation of the hand and its outcome. Int J Surg Case Rep [Internet]. Mayo de 2024 [consultado el 9 de agosto de 2024]:109806. Disponible en: https://doi.org/10.1016/j.ijscr.2024.109806
Pinheiro M, Carreira M, Rocha-Neves J. MANAGEMENT OF THE UPPER LIMB ARTERIOVENOUS MALFORMATIONS. Port J Card Thorac Vasc Surg [Internet]. 2022;29(1):45-51. Disponible en: https://doi.org/10.48729/pjctvs.184
Park HS, Do YS, Park KB, Kim DI, Kim YW, Kim MJ, Shin BS, Choo IW. Ethanol embolotherapy of hand arteriovenous malformations. J Vasc Surg [Internet]. Marzo de 2011 [consultado el 9 de agosto de 2024];53(3):725-31. Disponible en: https://doi.org/10.1016/j.jvs.2010.09.028
Scotti D, Edeiken J, Madan V. Arteriovenous malformation of the hand with involvement of bone. Skelet Radiol [Internet]. 1978 [consultado el 9 de agosto de 2024];2(3):151-2. Disponible en: https://doi.org/10.1007/bf00347313
Park UJ, Do YS, Park KB, Park HS, Kim YW, Lee BB, Kim DI. Treatment of Arteriovenous Malformations Involving the Hand. Ann Vasc Surg [Internet]. Julio de 2012 [consultado el 9 de agosto de 2024];26(5):643-8. Disponible en: https://doi.org/10.1016/j.avsg.2011.08.016
Lapresta A, Hermosa E, Boixeda P, Carrillo-Gijón R. Malformaciones arteriovenosas digitales adquiridas. Una anomalía vascular infrecuente tratada con láser. Actas Dermo Sifiliogr [Internet]. Junio de 2014 [consultado el 10 de agosto de 2024];105(5):e33-e37. Disponible en: https://doi.org/10.1016/j.ad.2013.12.019
AL-QATTAN MM, MURRAY KA, EL-SHAYEB A. Arteriovenous Vascular Malformations Confined to the Hand: An Algorithm of Management Based On a New Classification. J Hand Surg [Internet]. Junio de 2006 [consultado el 9 de agosto de 2024];31(3):266-73. Disponible en: https://doi.org/10.1016/j.jhsb.2006.01.005
Mattasi RE, Di Giuseppe P. Venous malformations of the hand: surgical treatment. Phlebolymphology. 2022;29(2).
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