A rare case of anterior abdominal wall arteriovenous malformation

Arteriovenous malformation most commonly affects the central nervous system but can involve any organ. A 28 year old woman presented with complaints of on and off pain in epigastric region since 3 month.skin lesion in epigastric region since one month. local examination, there was multiple clear to...

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Main Authors: Jayesh Patel, Alisha Akhani, Nirav Chhabhaya, Arya Patel
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Vascular and Endovascular Surgery
Subjects:
Online Access:http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2023;volume=10;issue=2;spage=152;epage=154;aulast=Patel
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author Jayesh Patel
Alisha Akhani
Nirav Chhabhaya
Arya Patel
author_facet Jayesh Patel
Alisha Akhani
Nirav Chhabhaya
Arya Patel
author_sort Jayesh Patel
collection DOAJ
description Arteriovenous malformation most commonly affects the central nervous system but can involve any organ. A 28 year old woman presented with complaints of on and off pain in epigastric region since 3 month.skin lesion in epigastric region since one month. local examination, there was multiple clear to hemorrhagic fluid filled blister present in epigastric region. An ill defined mass in the epigastric region, soft to firm in consistency and immobile. On leg raising test, the swelling became prominent. MDCT scan of whole abdomen showed a single lobulated hypodense lesion in anterior abdominal wall. Arterial supply was from superior epigastric artery from both sides and inferior epigastric artery from left side. There was no involvement of rectus sheath or evidence of intra-peritoneal extension. Excision of the epigastric AVM was performed after ligating all the feeders. To our best knowledge, this is the first case of epigastric subcutaneous AVM and such an entity has not been reported in the literature so far. Epigastric AVMs can easily be misdiagnosed as lipoma or epigastric hernia. Ultrasonography is useful as an initial imaging modality, however a CT scan is required to determine the peritoneal and visceral involvement of an epigastric mass.
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spelling doaj.art-dd823d892e434ca4ae7a0f449cfdbe7a2023-10-26T07:10:19ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992023-01-0110215215410.4103/ijves.ijves_49_22A rare case of anterior abdominal wall arteriovenous malformationJayesh PatelAlisha AkhaniNirav ChhabhayaArya PatelArteriovenous malformation most commonly affects the central nervous system but can involve any organ. A 28 year old woman presented with complaints of on and off pain in epigastric region since 3 month.skin lesion in epigastric region since one month. local examination, there was multiple clear to hemorrhagic fluid filled blister present in epigastric region. An ill defined mass in the epigastric region, soft to firm in consistency and immobile. On leg raising test, the swelling became prominent. MDCT scan of whole abdomen showed a single lobulated hypodense lesion in anterior abdominal wall. Arterial supply was from superior epigastric artery from both sides and inferior epigastric artery from left side. There was no involvement of rectus sheath or evidence of intra-peritoneal extension. Excision of the epigastric AVM was performed after ligating all the feeders. To our best knowledge, this is the first case of epigastric subcutaneous AVM and such an entity has not been reported in the literature so far. Epigastric AVMs can easily be misdiagnosed as lipoma or epigastric hernia. Ultrasonography is useful as an initial imaging modality, however a CT scan is required to determine the peritoneal and visceral involvement of an epigastric mass.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2023;volume=10;issue=2;spage=152;epage=154;aulast=Patelavmvascular malformationvascular tumour
spellingShingle Jayesh Patel
Alisha Akhani
Nirav Chhabhaya
Arya Patel
A rare case of anterior abdominal wall arteriovenous malformation
Indian Journal of Vascular and Endovascular Surgery
avm
vascular malformation
vascular tumour
title A rare case of anterior abdominal wall arteriovenous malformation
title_full A rare case of anterior abdominal wall arteriovenous malformation
title_fullStr A rare case of anterior abdominal wall arteriovenous malformation
title_full_unstemmed A rare case of anterior abdominal wall arteriovenous malformation
title_short A rare case of anterior abdominal wall arteriovenous malformation
title_sort rare case of anterior abdominal wall arteriovenous malformation
topic avm
vascular malformation
vascular tumour
url http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2023;volume=10;issue=2;spage=152;epage=154;aulast=Patel
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