Arteriovenous Malformation of the Distal Ileum in a 14-Year-Old Girl with Recurrent Abdominal Pain: A Case Report

Arteriovenous malformation (AVM) is a lesion involving a high-flow vascular malformation, which is one of the causes of massive gastrointestinal bleeding. In the pediatric population, AVM is quite rare in the gastrointestinal tract, and the most common primary site is the colon. A small bowel is...

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Main Authors: Hyein Kang, Eun Sun Lee, Hee Sung Kim, Mi Kyung Kim, Kwi-Won Park, Dae Yong Yi, Byung Ihn Choi, Jong Beum Lee, Hyun Jeong Park
Format: Article
Language:English
Published: The Korean Society of Radiology 2018-04-01
Series:대한영상의학회지
Subjects:
Online Access:https://doi.org/10.3348/jksr.2018.78.4.295
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author Hyein Kang
Eun Sun Lee
Hee Sung Kim
Mi Kyung Kim
Kwi-Won Park
Dae Yong Yi
Byung Ihn Choi
Jong Beum Lee
Hyun Jeong Park
author_facet Hyein Kang
Eun Sun Lee
Hee Sung Kim
Mi Kyung Kim
Kwi-Won Park
Dae Yong Yi
Byung Ihn Choi
Jong Beum Lee
Hyun Jeong Park
author_sort Hyein Kang
collection DOAJ
description Arteriovenous malformation (AVM) is a lesion involving a high-flow vascular malformation, which is one of the causes of massive gastrointestinal bleeding. In the pediatric population, AVM is quite rare in the gastrointestinal tract, and the most common primary site is the colon. A small bowel is a rare primary site of AVM, and only 1 case has been reported in Korea. Here, we report on a case of AVM found in the distal ileum of a 14-year-old girl who complained about recurrent lower abdominal pain only without a gastrointestinal hemorrhage. In the previous research literature, a small bowel AVM can be diagnosed through detecting the existence of an enhancing nidus of the intestinal wall at the arterial phase, accompanied by an early draining vein as it appeared on a dynamic contrast-enhanced abdominal computed tomography. In our case, the pathologically confirmed AVM of the distal ileum showed a dot-like enhancement within the thick low-attenuating submucosal layer of the terminal ileum.
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spelling doaj.art-3b85daf6b5534fe8a46d006c2be066f92022-12-21T19:43:47ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282018-04-01784295298https://doi.org/10.3348/jksr.2018.78.4.295Arteriovenous Malformation of the Distal Ileum in a 14-Year-Old Girl with Recurrent Abdominal Pain: A Case ReportHyein Kang0Eun Sun Lee1Hee Sung Kim2Mi Kyung Kim3Kwi-Won Park4Dae Yong Yi5Byung Ihn Choi6Jong Beum Lee7Hyun Jeong Park8Department of Radiology, Chung-Ang University Hospital, Seoul, KoreaDepartment of Radiology, Chung-Ang University Hospital, Seoul, KoreaDepartment of Pathology, Chung-Ang University Hospital, Seoul, KoreaDepartment of Pathology, Chung-Ang University Hospital, Seoul, KoreaDepartment of Surgery, Chung-Ang University Hospital, Seoul, KoreaDepartment of Pediatrics, Chung-Ang University Hospital, Seoul, KoreaDepartment of Radiology, Chung-Ang University Hospital, Seoul, KoreaDepartment of Radiology, Chung-Ang University Hospital, Seoul, KoreaDepartment of Radiology, Chung-Ang University Hospital, Seoul, KoreaArteriovenous malformation (AVM) is a lesion involving a high-flow vascular malformation, which is one of the causes of massive gastrointestinal bleeding. In the pediatric population, AVM is quite rare in the gastrointestinal tract, and the most common primary site is the colon. A small bowel is a rare primary site of AVM, and only 1 case has been reported in Korea. Here, we report on a case of AVM found in the distal ileum of a 14-year-old girl who complained about recurrent lower abdominal pain only without a gastrointestinal hemorrhage. In the previous research literature, a small bowel AVM can be diagnosed through detecting the existence of an enhancing nidus of the intestinal wall at the arterial phase, accompanied by an early draining vein as it appeared on a dynamic contrast-enhanced abdominal computed tomography. In our case, the pathologically confirmed AVM of the distal ileum showed a dot-like enhancement within the thick low-attenuating submucosal layer of the terminal ileum.https://doi.org/10.3348/jksr.2018.78.4.295arteriovenous malformationssmall intestineileumtomographyx-ray computed
spellingShingle Hyein Kang
Eun Sun Lee
Hee Sung Kim
Mi Kyung Kim
Kwi-Won Park
Dae Yong Yi
Byung Ihn Choi
Jong Beum Lee
Hyun Jeong Park
Arteriovenous Malformation of the Distal Ileum in a 14-Year-Old Girl with Recurrent Abdominal Pain: A Case Report
대한영상의학회지
arteriovenous malformations
small intestine
ileum
tomography
x-ray computed
title Arteriovenous Malformation of the Distal Ileum in a 14-Year-Old Girl with Recurrent Abdominal Pain: A Case Report
title_full Arteriovenous Malformation of the Distal Ileum in a 14-Year-Old Girl with Recurrent Abdominal Pain: A Case Report
title_fullStr Arteriovenous Malformation of the Distal Ileum in a 14-Year-Old Girl with Recurrent Abdominal Pain: A Case Report
title_full_unstemmed Arteriovenous Malformation of the Distal Ileum in a 14-Year-Old Girl with Recurrent Abdominal Pain: A Case Report
title_short Arteriovenous Malformation of the Distal Ileum in a 14-Year-Old Girl with Recurrent Abdominal Pain: A Case Report
title_sort arteriovenous malformation of the distal ileum in a 14 year old girl with recurrent abdominal pain a case report
topic arteriovenous malformations
small intestine
ileum
tomography
x-ray computed
url https://doi.org/10.3348/jksr.2018.78.4.295
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