Eruption of a venous malformation through an iliac bone harvesting site after trauma
Harvesting grafts from the anterior iliac bone has been associated with various complications. A 50-year-old woman presented to our department with a chief complaint of right inguinal swelling and pain. Autologous bone grafts had been harvested on two previous occasions from the right anterior iliac...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2018-11-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.01550 |
| _version_ | 1827229732916166656 |
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| author | Tatsuki Kono Atsuomi Saiga Keiichi Tamagawa Kensuke Katsuki Misako Nomura Toshinori Hokazono Yuuki Uchida |
| author_facet | Tatsuki Kono Atsuomi Saiga Keiichi Tamagawa Kensuke Katsuki Misako Nomura Toshinori Hokazono Yuuki Uchida |
| author_sort | Tatsuki Kono |
| collection | DOAJ |
| description | Harvesting grafts from the anterior iliac bone has been associated with various complications. A 50-year-old woman presented to our department with a chief complaint of right inguinal swelling and pain. Autologous bone grafts had been harvested on two previous occasions from the right anterior iliac crest for use in the reconstruction of multiple facial fractures. Computed tomography and magnetic resonance imaging revealed a full-thickness bone defect in the right anterior iliac crest. A mass was noted in the right gluteus minimus, while a multilocular cystic mass extended from the right iliac crest defect to the right inguinal region. Both the inguinal mass and gluteal mass were removed under general anesthesia. Following histopathological analysis, the gluteal mass was diagnosed as a venous malformation(VM). Based on the patient’s clinical course, iliac bone graft harvesting and trauma to the gluteal region triggered hemorrhaging from the VM. Blood components leaked out from the fragile portion of the iliac bone defect, forming a cystic lesion that developed into the inguinal mass. In this case, a coincidental VM resulted in a rare complication of iliac bone graft harvesting. These sequelae could have been avoided by planning for more appropriate ways to collect the grafts. |
| first_indexed | 2024-04-11T18:32:16Z |
| format | Article |
| id | doaj.art-99b69a9c7189408a8863409840bb60c6 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2025-03-21T18:34:26Z |
| publishDate | 2018-11-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-99b69a9c7189408a8863409840bb60c62024-06-07T06:30:48ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712018-11-01450658859210.5999/aps.2017.01550986Eruption of a venous malformation through an iliac bone harvesting site after traumaTatsuki Kono0Atsuomi Saiga1Keiichi Tamagawa2Kensuke Katsuki3Misako Nomura4Toshinori Hokazono5Yuuki Uchida6Department of Plastic and Reconstructive Surgery, Showa University School of Medicine, Tokyo, JapanDepartment of Plastic and Reconstructive Surgery, St. Mary’s Hospital, Kurume, JapanDepartment of Plastic and Reconstructive Surgery, St. Mary’s Hospital, Kurume, JapanDepartment of Plastic and Reconstructive Surgery, St. Mary’s Hospital, Kurume, JapanDepartment of Plastic and Reconstructive Surgery, St. Mary’s Hospital, Kurume, JapanDepartment of Plastic and Reconstructive Surgery, St. Mary’s Hospital, Kurume, JapanDepartment of Plastic and Reconstructive Surgery, St. Mary’s Hospital, Kurume, JapanHarvesting grafts from the anterior iliac bone has been associated with various complications. A 50-year-old woman presented to our department with a chief complaint of right inguinal swelling and pain. Autologous bone grafts had been harvested on two previous occasions from the right anterior iliac crest for use in the reconstruction of multiple facial fractures. Computed tomography and magnetic resonance imaging revealed a full-thickness bone defect in the right anterior iliac crest. A mass was noted in the right gluteus minimus, while a multilocular cystic mass extended from the right iliac crest defect to the right inguinal region. Both the inguinal mass and gluteal mass were removed under general anesthesia. Following histopathological analysis, the gluteal mass was diagnosed as a venous malformation(VM). Based on the patient’s clinical course, iliac bone graft harvesting and trauma to the gluteal region triggered hemorrhaging from the VM. Blood components leaked out from the fragile portion of the iliac bone defect, forming a cystic lesion that developed into the inguinal mass. In this case, a coincidental VM resulted in a rare complication of iliac bone graft harvesting. These sequelae could have been avoided by planning for more appropriate ways to collect the grafts.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.01550Venous malformationsTraumaBone graftIliac crest |
| spellingShingle | Tatsuki Kono Atsuomi Saiga Keiichi Tamagawa Kensuke Katsuki Misako Nomura Toshinori Hokazono Yuuki Uchida Eruption of a venous malformation through an iliac bone harvesting site after trauma Archives of Plastic Surgery Venous malformations Trauma Bone graft Iliac crest |
| title | Eruption of a venous malformation through an iliac bone harvesting site after trauma |
| title_full | Eruption of a venous malformation through an iliac bone harvesting site after trauma |
| title_fullStr | Eruption of a venous malformation through an iliac bone harvesting site after trauma |
| title_full_unstemmed | Eruption of a venous malformation through an iliac bone harvesting site after trauma |
| title_short | Eruption of a venous malformation through an iliac bone harvesting site after trauma |
| title_sort | eruption of a venous malformation through an iliac bone harvesting site after trauma |
| topic | Venous malformations Trauma Bone graft Iliac crest |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2017.01550 |
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