Missed feeder vessel induced recurrent and refractory arteriovenous vascular malformation in the upper eye lid

A 25-year-old male presented with recurrent swelling in the left upper eyelid despite multiple surgeries in the past 6 years. He was initially misdiagnosed as capillary hemangioma elsewhere, for which multiple surgical excision procedures were done. In 2020, he presented to us for a second opinion r...

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Main Authors: Shruthy Vaishali Ramesh, Prasanna Venkatesh Ramesh, J Ganesh Kumar, Ramesh Rajasekaran, Meena Kumari Ramesh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Kerala Journal of Ophthalmology
Subjects:
Online Access:http://www.kjophthal.com/article.asp?issn=0976-6677;year=2023;volume=35;issue=1;spage=100;epage=102;aulast=Ramesh
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author Shruthy Vaishali Ramesh
Prasanna Venkatesh Ramesh
J Ganesh Kumar
Ramesh Rajasekaran
Meena Kumari Ramesh
author_facet Shruthy Vaishali Ramesh
Prasanna Venkatesh Ramesh
J Ganesh Kumar
Ramesh Rajasekaran
Meena Kumari Ramesh
author_sort Shruthy Vaishali Ramesh
collection DOAJ
description A 25-year-old male presented with recurrent swelling in the left upper eyelid despite multiple surgeries in the past 6 years. He was initially misdiagnosed as capillary hemangioma elsewhere, for which multiple surgical excision procedures were done. In 2020, he presented to us for a second opinion regarding the same painless swelling which recurred at the same site. Clinical examination and Doppler ultrasound shifted the diagnosis in favor of arteriovenous malformation (AVM). Computed tomography of the brain and cerebral angiogram (three-dimensional reconstructed) images confirmed the AVM in the left upper eyelid with an arterial feeder from the left ophthalmic artery branch. The patient had multiple recurrences due to the inadvertent misdiagnosis and missed management of the feeder vessel from the ophthalmic artery. We highlight this case, to bring to light the deceptive diagnosis and management of recurrent and refractory AVM due to a feeder vessel from the ophthalmic artery.
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spelling doaj.art-98d1ae5d62ce46a1b9e5c45601ca1bd82023-10-30T10:41:45ZengWolters Kluwer Medknow PublicationsKerala Journal of Ophthalmology0976-66772023-01-0135110010210.4103/kjo.kjo_36_21Missed feeder vessel induced recurrent and refractory arteriovenous vascular malformation in the upper eye lidShruthy Vaishali RameshPrasanna Venkatesh RameshJ Ganesh KumarRamesh RajasekaranMeena Kumari RameshA 25-year-old male presented with recurrent swelling in the left upper eyelid despite multiple surgeries in the past 6 years. He was initially misdiagnosed as capillary hemangioma elsewhere, for which multiple surgical excision procedures were done. In 2020, he presented to us for a second opinion regarding the same painless swelling which recurred at the same site. Clinical examination and Doppler ultrasound shifted the diagnosis in favor of arteriovenous malformation (AVM). Computed tomography of the brain and cerebral angiogram (three-dimensional reconstructed) images confirmed the AVM in the left upper eyelid with an arterial feeder from the left ophthalmic artery branch. The patient had multiple recurrences due to the inadvertent misdiagnosis and missed management of the feeder vessel from the ophthalmic artery. We highlight this case, to bring to light the deceptive diagnosis and management of recurrent and refractory AVM due to a feeder vessel from the ophthalmic artery.http://www.kjophthal.com/article.asp?issn=0976-6677;year=2023;volume=35;issue=1;spage=100;epage=102;aulast=Rameshmissed feeder vesselrecurrent arteriovenous malformationrefractory arteriovenous malformation
spellingShingle Shruthy Vaishali Ramesh
Prasanna Venkatesh Ramesh
J Ganesh Kumar
Ramesh Rajasekaran
Meena Kumari Ramesh
Missed feeder vessel induced recurrent and refractory arteriovenous vascular malformation in the upper eye lid
Kerala Journal of Ophthalmology
missed feeder vessel
recurrent arteriovenous malformation
refractory arteriovenous malformation
title Missed feeder vessel induced recurrent and refractory arteriovenous vascular malformation in the upper eye lid
title_full Missed feeder vessel induced recurrent and refractory arteriovenous vascular malformation in the upper eye lid
title_fullStr Missed feeder vessel induced recurrent and refractory arteriovenous vascular malformation in the upper eye lid
title_full_unstemmed Missed feeder vessel induced recurrent and refractory arteriovenous vascular malformation in the upper eye lid
title_short Missed feeder vessel induced recurrent and refractory arteriovenous vascular malformation in the upper eye lid
title_sort missed feeder vessel induced recurrent and refractory arteriovenous vascular malformation in the upper eye lid
topic missed feeder vessel
recurrent arteriovenous malformation
refractory arteriovenous malformation
url http://www.kjophthal.com/article.asp?issn=0976-6677;year=2023;volume=35;issue=1;spage=100;epage=102;aulast=Ramesh
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AT prasannavenkateshramesh missedfeedervesselinducedrecurrentandrefractoryarteriovenousvascularmalformationintheuppereyelid
AT jganeshkumar missedfeedervesselinducedrecurrentandrefractoryarteriovenousvascularmalformationintheuppereyelid
AT rameshrajasekaran missedfeedervesselinducedrecurrentandrefractoryarteriovenousvascularmalformationintheuppereyelid
AT meenakumariramesh missedfeedervesselinducedrecurrentandrefractoryarteriovenousvascularmalformationintheuppereyelid