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Scattered Musculoskeletal Venous Malformations in Children: A Rare Report on Clinical Evaluation and Sclerotherapy with Adjunctive Stasis of Efflux.
Palo, Nishit; Chauhan, Virendra S; Lakhanpal, Mahima; Dey, Paresh Chandra; Malik, Chhavi.
Afiliación
  • Palo N; Associate Professor, Department of Orthopedics, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India.
  • Chauhan VS; Consultant, Department of Radiodiagnosis, Saral Diagnostics, Noida, Uttar Pradesh, India.
  • Lakhanpal M; Associate Professor, Department of Anesthesiology, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India.
  • Dey PC; Professor, Department of Orthopaedics, KIMS, Bhubaneswar, Odisha, India.
  • Malik C; Medical Officer, Department of Emergency Medicine, PLCSUPVA, Rohtak, Haryana, India.
J Orthop Case Rep ; 13(7): 110-115, 2023 Jul.
Article en En | MEDLINE | ID: mdl-37521391
Introduction: Venous malformations are rare lesions of unknown etiology, with a reported incidence of 0.8-1%. Patients with inexorable growth and expansion of vascular malformations, or" have an unpredictable clinical course and a wide range of presenting symptoms. Often, they are erroneously diagnosed and inadequately treated due to their rarity and lack of expertise among clinicians. To author's information this is the first report of diffuse venous malformations with multiple phleboliths involving various compartments of the upper extremity in children. Case Report: The uthors discuss the clinical presentation, evaluation, and treatment over 8 months of slow-flow venous malformations with phleboliths in an11-year-old girl presenting with multiple painful swellings throughout her right upper extremity. The right upper extremity had multiple swellings over the right hand, forearm, arm, and shoulder region involving multiple compartments. The digital swellings had bluish discoloration, indicating a vascular nature. Blood tests revealed a raised D-dimer level (2.42 mg/L). Radiographs, Ultrasound, Magnetic resonance imaging, and CT angiography suggested a slow-flow venous malformation. The excisional biopsy confirmed the diagnosis. Ultrasound-guided Sclerotherapy with the Sclerotherapy with Adjunctive Stasis of Efflux Technique was performed for other lesions. Sodium Tetradecyl Sulfate (60 mg/2 mL; 0.5mL) was used in each lesion. Post-intervention, at 6 months follow-up, cosmetic appearance improved drastically, with the hands benefitted most. Parents were satisfied with overall outcome. Sclerotherapy was stopped after 4 cycles. Conclusion: Ultrasound-guided sclerotherapy is effective in treating venous malformations. The ideal result is seen after 4-5 sittings. Sclerotherapy must be performed in the operating theatre under sedation or appropriate anesthesia with resuscitation equipment at the ready disposal. Excision is reserved for bigger superficial lesions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Orthop Case Rep Año: 2023 Tipo del documento: Article País de afiliación: India Pais de publicación: India

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Orthop Case Rep Año: 2023 Tipo del documento: Article País de afiliación: India Pais de publicación: India