scholarly journals Ipsilateral Lymphatic and Venous Malformations Affecting the Midface Area

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Şükran Bekdemir ◽  
Ahmet Kaan Gündüz ◽  
Ömür Ataoğlu
Keyword(s):  
Magnetic Resonance Imaging ◽  
Hard Palate ◽  
Venous Malformation ◽  
Anterior Segment ◽  
Bulbar Conjunctiva ◽  
Venous Malformations ◽  
Resonance Imaging ◽  
Swept Source ◽  
Orbital Mass ◽  
Systemic Examination

A 22-year-old woman presented with progressive swelling of the nasal conjunctiva in the left eye. Anterior segment examination revealed a diffuse cystic appearance to the inferonasal bulbar conjunctiva and plica semilunaris. Anterior segment swept-source optical coherence tomography (OCT) revealed clear hyporeflective spaces demarcated by hyperreflective septae in the affected conjunctiva, consistent with the diagnosis of lymphatic malformation (LM). Magnetic resonance imaging revealed a well circumscribed intraconal mass located inferonasally in the left orbit. Systemic examination revealed a lesion similar to LM on the left hard palate. The left conjunctival mass was excised subtotally. Subsequently, a transconjunctival anterior orbitotomy was performed and the left orbital mass was completely removed intact. Histopathologically, the conjunctival mass was diagnosed as LM and the orbital mass as venous malformation (VM). This case represents a rare coexistence of histopathologically proven conjunctival LM and orbital VM as well as a presumed LM of the hard palate, all 3 lesions occurring in the ipsilateral midface area.

scholarly journals Intra-articular venous malformation of the knee in children: magnetic resonance imaging findings and significance of synovial involvement

2019 ◽  
Vol 50 (4) ◽  
pp. 509-515 ◽  
Author(s):  
Katariina A. Mattila ◽  
Johanna Aronniemi ◽  
Päivi Salminen ◽  
Risto J. Rintala ◽  
Kristiina Kyrklund
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Knee Pain ◽  
Venous Malformation ◽  
Cartilage Damage ◽  
Venous Malformations ◽  
Resonance Imaging ◽  
Cutaneous Manifestations ◽  
Timely Diagnosis ◽  
Clinical Awareness

Abstract Background Intra-articular venous malformations of the knee are an uncommon cause of unilateral knee pain in children. Timely diagnosis is important because lesions with intrasynovial involvement can lead to joint space hemorrhage and secondary cartilage damage. Objective To describe our tertiary center’s experience of diagnostics and typical magnetic resonance imaging (MRI) findings. Materials and methods A retrospective review of all patients ≤16 years of age managed for intra-articular venous malformations of the knee at our institution between 2002 and 2018. Results Of 14 patients (8 male), the mean age at presentation was 6 years (range: 0–14 years). The most common clinical findings were unilateral knee pain (93%), joint swelling (79%), quadriceps atrophy (50%) and a limited range of motion (29%). Cutaneous manifestations were present in four patients (29%). Contrast-enhanced MRI was available in all cases. After initial MRI, a vascular anomaly etiology had been identified in 11 cases (79%), and correctly reported as a venous malformation in 6 (55%). Three patients received entirely different diagnoses (arthritis, tumor or pigmented villonodular synovitis). Three of seven patients with intrasynovial lesions had established chondropathy at diagnosis. Two patients with lesions of the suprapatellar fat pad had intrasynovial involvement that was not visualised on MRI. Conclusion Although MRI usually permits the diagnosis, clinical awareness of these lesions is important for optimal imaging, accurate interpretation and timely diagnosis. Involvement of the intrasynovial cavity carries a risk of hemarthrosis and progressive chondropathy that may be underestimated by MRI.

Surgical management of venous malformation in soft tissue with the guidance of magnetic resonance imaging and percutaneous sinus angiography/three-dimensional computed tomography imaging

2015 ◽  
Vol 31 (6) ◽  
pp. 397-402 ◽  
Author(s):  
Si-Ming Yuan ◽  
Chang-Sheng Zhou ◽  
Lei Cui ◽  
Yao Guo ◽  
Zhi-Jian Hong ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Surgical Management ◽  
Venous Malformation ◽  
Three Dimensional ◽  
Venous Malformations ◽  
Resonance Imaging ◽  
Computed Tomography Imaging ◽  
Tomography Imaging

Background Venous malformation (VM) is a common vascular malformation in soft tissue. Surgical management plays an important role in its treatment. The location, extent, and adjacent anatomy of the lesion are crucial information for the safety of operation. This study introduces the application of magnetic resonance imaging and percutaneous sinus angiography/three-dimensional computed tomography imaging in gathering above information. Methods A retrospective analysis was made in the patients with venous malformation from January 2012 to June 2014 in our clinic. All patients underwent magnetic resonance imaging and percutaneous sinus angiography/three-dimensional computed tomography imaging. The location, extent of the lesion, its draining veins, and the relationship with around tissues were showed. Surgical management was carried out in the lesions which were well defined, located in the superficial fascia without important vessels and nerves across it. The wound was repaired by skin flap or skin graft. Results A total of 13 patients underwent complete surgical removal of the lesions, including five type I venous malformations and eight type II venous malformations. Ten lesions were removed by undermining dissection, and the wound was repaired by the undermined flap. Three superficial lesions were removed together with the skin over it, and the wound was repaired by the skin graft. In the six months to two years of follow-up period, none of the recurrence of the lesion was observed. Conclusion Magnetic resonance imaging and percutaneous sinus angiography/three-dimensional computed tomography imaging can display abundant morphological details of venous malformation, which are helpful for the surgical management.

scholarly journals Therapeutic evaluation of sclerotherapy for limb venous malformations: A case series

2020 ◽  
Vol 35 (9) ◽  
pp. 663-671
Author(s):  
Tenghui Zhan ◽  
Fanggang Cai ◽  
Pingfan Guo ◽  
Yujie Lian ◽  
Hui Zhuang ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Doppler Ultrasound ◽  
Clinical Examination ◽  
Clinical Manifestations ◽  
Case Series ◽  
Venous Malformations ◽  
Resonance Imaging ◽  
Percutaneous Sclerotherapy

Objectives To examine three different methods for evaluating the effect of percutaneous sclerotherapy on limb venous malformations in a series of patients with a relatively long follow-up. Method The study was a retrospective study. Results Thirty-eight patients treated with percutaneous sclerotherapy underwent sclerotherapy, with a median number of sessions of 4 (range, 1–10). They were followed up for 1–60 months (average 12.5 months). The kappa between clinical manifestations and Doppler ultrasound was 0.684 ( P < 0.001). The kappa between clinical manifestations and magnetic resonance imaging was 0.217 ( P = 0.006). The kappa between Doppler ultrasound and magnetic resonance imaging was 0.323 ( P < 0.001). The rate of grade IV patients evaluated by clinical manifestations was significantly higher than that by Doppler ultrasound and magnetic resonance imaging. Conclusions Magnetic resonance imaging is the gold standard for VM imaging. Its consistency with clinical examination and Doppler ultrasound is poor, and Doppler ultrasound and clinical examination could be more appropriate for follow-up imaging after sclerotherapy.

Intralesional copper wire retention and pingyangmycin injection: an effective combinational therapy for complex venous malformation in soft tissue

2013 ◽  
Vol 29 (3) ◽  
pp. 179-185 ◽  
Author(s):  
S-M Yuan ◽  
Z-J Hong ◽  
H-Q Jiang ◽  
J Wang ◽  
X-B Hu
Keyword(s):  
Soft Tissue ◽  
Copper Wire ◽  
Venous Malformation ◽  
Venous Malformations ◽  
Resonance Imaging ◽  
Local Pain ◽  
Combinational Therapy ◽  
Straight Needle ◽  
Magnetic Resonance Imaging Scanning

Objectives: Complex venous malformations (VMs) may extensively involve the soft tissue. The treatment remains a challenge till now. Here we introduce a combinational therapy of copper wires and pingyangmycin (bleomycin A5, PYM). Methods: Copper wires were retained in VMs by repeated penetration with a straight needle. Subsequently, PYM solution was injected into the lesion. Eight to 10 days later, copper wires were removed. The dressing was changed every day until the puncture pores healed. Magnetic resonance imaging scanning was performed to observe the change of VMs. Results: From January 2001 to December 2011,56 patients were treated. During the follow-up period, most of the VMs shrunk obviously. The symptoms were relieved or disappeared. The complications included local pain, temporary paraesthesia and moderate fever, which disappeared quickly after the removal of copper wires. Conclusions: This combinational therapy is a safe and effective approach for the complex VMs in soft tissue.

scholarly journals A Case of Multiple Phleboliths on the Medial Side of the Right Mandible

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Shinichi Sato ◽  
Masato Takahashi ◽  
Tetsu Takahashi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Clinical Symptoms ◽  
Venous Malformation ◽  
Resonance Imaging ◽  
Mandibular Ramus ◽  
Blood Tests ◽  
Medial Side ◽  
Neck Fracture ◽  
The Right ◽  
D Dimer

A 66-year-old female patient was admitted to the orthopedic department due to a left femoral neck fracture. She received perioperative oral management prior to femoral head replacement. Laboratory blood tests indicated an elevated D-dimer level, which suggested the presence of a venous malformation. Computed tomography, magnetic resonance imaging, and short TI inversion recovery indicated the presence of multiple phleboliths medial to the right mandibular ramus. No swelling, redness, or salivary colic pain was observed. Owing to the absence of clinical symptoms, the patient elected to undergo observation of the lesion, as opposed to surgical treatment.

scholarly journals Lower Gastrointestinal Bleeding in Klippel-Trenaunay Syndrome: A Case Report

2018 ◽  
Vol 36 (1) ◽  
pp. 83
Author(s):  
Nawaporn Assanangkornchai ◽  
Kumpol Aiempanakit ◽  
Siripan Sangmala
Keyword(s):  
Magnetic Resonance Imaging ◽  
Clinical Presentation ◽  
Vascular Malformations ◽  
Imaging Study ◽  
Lower Gastrointestinal Bleeding ◽  
Venous Malformations ◽  
Resonance Imaging ◽  
Gastrointestinal Complications ◽  
The Right ◽  
Klippel Trenaunay Syndrome

Klippel-Trenaunay syndrome (KTS) is a rare, vascular malformation. The major clinical presentation is an overgrowth involving the extremities. The diagnosis of KTS was based on an imaging study, which revealed vascular malformations. The author’s report is of a 36-year Thai man with; hypertrophy of the right lower extremity, whilst having suffered from two-months of bloody defecation. The magnetic resonance imaging showed venous malformations with soft tissue hypertrophy of the affected limb, genitalia and rectum. The patient was diagnosed with: KTS accompanied by gastrointestinal complications.

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