scholarly journals Vascular malformations: a hospital based study

2019 ◽  
Vol 7 (8) ◽  
pp. 2936
Author(s):  
Komanapalli Sunilkumar ◽  
Karthik Aithal ◽  
Unmesh Kumar Jena ◽  
Uma Prasad ◽  
Bhagyalakshmi Atla ◽  
...  
Keyword(s):  
Vascular Malformations ◽  
Tertiary Care ◽  
Vascular Anomalies ◽  
Imaging Features ◽  
Venous Malformations ◽  
Internal Elastic Lamina ◽  
Tertiary Care Centre ◽  
Vascular Neoplasms ◽  
Diagnostic Difficulties ◽  
Appropriate Therapy

Background: Vascular anomalies comprise a widely heterogeneous group of lesions. Diagnosis and management of these lesions present challenges to the surgeons, radiologists and histopathologists. Accurate classification of these lesions results in appropriate therapy. Aim of the study is to study the role of histopathology and histochemical stain in the diagnosis of vascular malformationMethods: The present study is a hospital based observational study on vascular malformations over a period of three years from 2016 to 2018 done in department of Pathology and Plastic Surgery at tertiary care centre, Visakhapatnam.Results: Out of 107 specimens of vascular anomalies received, 72 cases were vascular neoplasms, 35 were vascular malformations. Majority of the vascular malformations were seen in the cervicofacial region (43%) followed by extremities (37.1%). Most common malformation in the present study was arterio venous malformations (60%) followed by venous malformations (22.8%). Verhoeff’s VanGieson stain demonstrated discontinuity of internal elastic lamina in cases of arteriovenous malformation and helped in differentiating the lesions from capillary malformation and vascular tumors.Conclusions: Histopathology, special histochemical stains along with imaging features can be used to reduce diagnostic difficulties and in helping proper management of vascular malformations.

scholarly journals Vascular Anomalies (Part I): Classification and Diagnostics of Vascular Anomalies

2018 ◽  
Vol 190 (09) ◽  
pp. 825-835 ◽  
Author(s):  
Maliha Sadick ◽  
René Müller-Wille ◽  
Moritz Wildgruber ◽  
Walter Wohlgemuth
Keyword(s):  
Classification System ◽  
Vascular Malformations ◽  
Color Doppler ◽  
Vascular Anomalies ◽  
Endothelial Cell Proliferation ◽  
Vascular Tumors ◽  
Interdisciplinary Management ◽  
Venous Malformations ◽  
Medical Evaluation ◽  
Malformation Syndromes

Background Vascular anomalies are a diagnostic and therapeutic challenge. They require dedicated interdisciplinary management. Optimal patient care relies on integral medical evaluation and a classification system established by experts in the field, to provide a better understanding of these complex vascular entities. Method A dedicated classification system according to the International Society for the Study of Vascular Anomalies (ISSVA) and the German Interdisciplinary Society of Vascular Anomalies (DiGGefA) is presented. The vast spectrum of diagnostic modalities, ranging from ultrasound with color Doppler, conventional X-ray, CT with 4 D imaging and MRI as well as catheter angiography for appropriate assessment is discussed. Results Congenital vascular anomalies are comprised of vascular tumors, based on endothelial cell proliferation and vascular malformations with underlying mesenchymal and angiogenetic disorder. Vascular tumors tend to regress with patient’s age, vascular malformations increase in size and are subdivided into capillary, venous, lymphatic, arterio-venous and combined malformations, depending on their dominant vasculature. According to their appearance, venous malformations are the most common representative of vascular anomalies (70 %), followed by lymphatic malformations (12 %), arterio-venous malformations (8 %), combined malformation syndromes (6 %) and capillary malformations (4 %). Conclusion The aim is to provide an overview of the current classification system and diagnostic characterization of vascular anomalies in order to facilitate interdisciplinary management of vascular anomalies. Key Points  Citation Format

Intraoral Venous Malformation-A Case report

2021 ◽  
pp. 80-82
Author(s):  
B.V Subhash ◽  
Alba Dinesh ◽  
Seema Patil ◽  
Asha R Iyengar ◽  
Revan Kumar Joshi ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Vascular Malformations ◽  
Venous Malformation ◽  
Vascular Anomalies ◽  
Venous Malformations ◽  
Wide Spread ◽  
Facial Area ◽  
Ct And Mri

The vascular anomalies consist of vascular tumours and vascular malformations. One among these are the venous malformations which constitute about 40% of all vascular malformations. Usually, the venous malformations present as localized lesions in the form of swellings/nodules with phleboliths, are diagnosed by ultrasonography, CT and MRI. Summary: This is a report of a rare longstanding case of wide spread venous malformations of oral cavity and facial area with phleboliths.

Image-guided Percutaneous Sclerotherapy of Vascular Malformations of the Male Genitalia - A Retrospective Study

2019 ◽  
Vol 3 ◽  
pp. 3
Author(s):  
Richard Brill ◽  
Moritz Guntau ◽  
Franz Stangl ◽  
Veronika Teusch ◽  
Dominik Schramm ◽  
...  
Keyword(s):  
Vascular Malformations ◽  
Tertiary Care ◽  
External Genitalia ◽  
Vascular Anomalies ◽  
Interventional Treatment ◽  
Slow Flow ◽  
Image Guided ◽  
Percutaneous Sclerotherapy ◽  
Male External Genitalia

Purpose: Regarding genital lesions, the incidence of male external genitalia vascular anomalies is circa 3%, thereof one-tenth tumors and nine-tenth malformations according to the International Society for the Study of Vascular Anomalies classification. Image-guided percutaneous sclerotherapy in male external genitalia vascular malformations has rarely been described. Therefore, a retrospective analysis of sclerotherapy in a series of eight patients was conducted. Materials and Methods: The study was IRB approved. Two radiologists reviewed angiographic reports and analyzed interventionally treated male patients with external genitalia vascular malformations between February 2, 2014, and November 11, 2017, at an interdisciplinary tertiary care Vascular Anomalies Center. Inclusion criteria were a slow-flow malformation of the male external genitalia and no interventional treatment before. Operations longer than 1-year past were no exclusion criteria. Patients suffered from lymphatic and/or venous malformations and received percutaneous sclerotherapy. Malformations were treated with polidocanol, ethanol in gel form or OK-432. Patients answered a questionnaire regarding symptoms with repeat after follow-up. The initial state and post-treatment results were compared. Magnetic resonance imaging pre- and post-intervention was assessed. Complications were reported standardized. Results: Eight patients with a mean age of 21.6 years suffered from genital swelling, bleeding, thrombophlebitis, lymphorrhea, skin changes, pain, and functional genitourinary symptoms and were treated with sclerotherapy. All patients reported clinical improvement of symptoms during the average follow-up period of 30 months. No complications ensued. Conclusion: Sclerotherapy seems to be a safe and effective treatment of slow-flow malformations of the male external genitalia. Due to the low incidence of the disease, multicenter studies are necessary to assess a larger number of cases.

scholarly journals Congenital Arteriovenous Malformation of Lip - A Case Report

2021 ◽  
Vol 10 (30) ◽  
pp. 2354-2357
Author(s):  
Rajasbala Pradeep Dhande ◽  
Megha Manoj ◽  
Roohi Gupta ◽  
Prerna Patwa ◽  
Prasanthi Ghanta
Keyword(s):  
Arteriovenous Malformation ◽  
Vascular Malformations ◽  
Venous Malformation ◽  
The Body ◽  
Vascular Anomalies ◽  
Surrounding Tissue ◽  
Signal Process ◽  
Vascular Neoplasms ◽  
Congenital Arteriovenous Malformation ◽  
Av Malformation

Vascular anomalies are a heterogeneous group of lesions involving vascular channels including the lymphatics. They encompass a wide variety of lesions from simple capillary haemangiomas to angiosarcomas. These lesions most commonly occur as a result of developmental error during embryogenesis due to defective signal process.1 Most of these lesions occur sporadically while a few may be inherited or acquired. Inherited lesions tend to be small and multi-centric which gradually increase its size with age.2 The International Society for the Study of Vascular Anomalies has broadly classified vascular anomalies into 2 groups: 1) Vascular neoplasms and 2) Vascular malformations.3 Vascular malformations are a relatively rare group of lesions involving the endothelium and surrounding tissue of arteries and veins resulting in an abnormal arteriovenous shunting. They are categorised into 4 types: 1) Venous malformation, 2) Capillary malformation, 3) Arteriovenous malformation and 4) Lymphatic malformation. They can occur anywhere in the body from head to toe, but they are most commonly seen in the brain. The most common extra-cranial site for AV malformations is the head and neck and other common sites include limbs, trunk and viscera.4 Here, we a present a rare case of congenital AV malformation of lip in a 49-year-old male.

scholarly journals How we approach localized vascular anomalies

2021 ◽  
Author(s):  
Kristy Pahl ◽  
Waleska Pabon-Ramos ◽  
Michael Jeng
Keyword(s):  
Arteriovenous Malformations ◽  
Vascular Malformations ◽  
Management Strategies ◽  
Vascular Anomalies ◽  
Vascular Tumors ◽  
Imaging Features ◽  
Diagnosis And Management

Vascular anomalies are a group of disorders divided into two distinct subtypes: vascular tumors and vascular malformations. Vascular tumors are proliferative in nature, while malformations are non-proliferative. Simple, localized vascular malformations refer to a group of malformations that are localized to a single area of involvement. These simple malformations include capillary, lymphatic, venous, and arteriovenous malformations. The pediatric hematologist and oncologist is becoming increasingly involved in the diagnosis and management of these disorders. This review presents four cases as a means to discuss the diagnosis, clinical and imaging features, and management strategies of simple, localized vascular malformations.

Combined and complex vascular malformations

VASA ◽  
2015 ◽  
Vol 44 (2) ◽  
pp. 92-105 ◽  
Author(s):  
Robert K. Clemens ◽  
Thomas Pfammatter ◽  
Thomas O. Meier ◽  
Ahmad I. Alomari ◽  
Beatrice R. Amann-Vesti
Keyword(s):  
Clinical Assessment ◽  
Vascular Malformations ◽  
Correct Diagnosis ◽  
Vascular Anomaly ◽  
Vascular Anomalies ◽  
Imaging Features ◽  
Patient History

The correct diagnosis of vascular malformations is obtainable by clinical assessment and patient history in the majority of cases. Nonetheless, confusion in nomenclature, existence of multiple classifications and rarity of these lesions leads to misdiagnosis and related wrong treatment. This is especially the case in combined or complex vascular malformations or vascular malformations that are part of syndromes as these have overlapping clinical and imaging features. New entities in the field of vascular anomalies have been described recently like fibro-adipose vascular anomaly or central conducting lymphatic anomalies.

Imaging of benign cervicofacial vascular anomalies and associated syndromes

2021 ◽  
pp. 159101992110349
Author(s):  
Anthony S Larson ◽  
Waleed Brinjikji ◽  
Katelyn R Anderson ◽  
Megha Tollefson ◽  
V. Michelle Silvera ◽  
...  
Keyword(s):  
Natural History ◽  
Arteriovenous Malformations ◽  
Imaging Techniques ◽  
Vascular Anomalies ◽  
Imaging Features ◽  
Venous Malformations ◽  
Genetic Syndromes ◽  
Lymphatic Malformations ◽  
Appropriate Treatment ◽  
Optimal Patient Care

Cervicofacial vascular anomalies can result in morbidity, pain, and cosmetic concerns in affected individuals. Each anomaly has its own unique natural history, treatment, and associations with underlying genetic syndromes. For optimal patient care, it is important for the neuroradiologist to accurately recognize and characterize these entities to ensure appropriate treatment and management. In this review, we discuss the general characteristics, classifications, and imaging features associated with the most common vascular anomalies such as hemangiomas, arteriovenous malformations and fistulas, capillary malformations, venous malformations, and lymphatic malformations in the context of associated syndromes. Additionally, we discuss novel imaging techniques that aid in identifying these vascular anomalies.

scholarly journals Sonographic Appearance of Different Presentations of Ascariasis in a Tertiary Care Centre in West Bengal - A Case Series and Review of Imaging Features

2021 ◽  
Vol 8 (18) ◽  
pp. 1206-1211
Author(s):  
Devpriyo Pal ◽  
Narayan Pandit
Keyword(s):  
Tertiary Care ◽  
Case Series ◽  
Imaging Features ◽  
Tertiary Care Centre ◽  
Ultrasound Technique ◽  
Cross Sectional ◽  
Characteristic Appearance ◽  
Abdominal Symptoms ◽  
Imaging Characteristics ◽  
Typical Appearance

BACKGROUND Ascariasis is a type of roundworm infestation caused by the helminth Ascaris lumbricoides. In spite of advancements in the diagnosis and management of ascariasis, it remains one of the commonest infections in the world, especially in the tropical and subtropical countries, causing both acute and chronic illnesses. Ultrasound offers a quick and non-invasive way to diagnose ascariasis of the intestine and hepatobiliary system. In this study we have described the imaging appearance of ascariasis through a series of cases and demonstrated key imaging characteristics according to location. METHODS This is an institution based observational and descriptive study. A cross-sectional study was conducted in the Department of Radiodiagnosis of North Bengal Medical College & Hospital for a period of 15 months (Oct 2018 - Jan 2020). This study was conducted among the patients who were referred to the Department of Radiodiagnosis for evaluation of abdominal symptoms. RESULTS Intestinal and extra-intestinal ascaris worms have a typical appearance which is easily identifiable in on ultrasound, but diagnostic confidence is affected by several factors related to the patient, worms and the ultrasound technique. CONCLUSIONS Ultrasound is a rapid, inexpensive and easily available modality with a high success rate in diagnosing ascariasis and its complications. It is important to be aware of the characteristic appearance of ascaris in the intestines and the hepatopancreato-biliary tree and it must be remembered that the typical appearance is grossly affected by several factors such as the number, whether living or not as well as the luminal distension of the organ. KEYWORDS Ultrasound, Ascariasis, Intestinal Obstruction, Cholecystitis, Cholangitis, Pancreatitis, Appendicitis

Abstract #1100: Tumor Induced Osteomalacia: Clinical; Biochemical and Radiological Features from a Single Tertiary Care Centre with Emphasis on Functional Imaging.

2017 ◽  
Vol 23 ◽  
pp. 289
Author(s):  
Vineet Surana ◽  
Rajesh Khadgawat ◽  
Nikhil Tandon ◽  
Chandrashekhar Bal ◽  
Kandasamy Devasenathipathy
Keyword(s):  
Functional Imaging ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Radiological Features

Emerging Antimicrobial Resistance Among Methicillin Resistant Staphylococcus Aureus (MRSA) in a Tertiary Care Centre in North India

JMS SKIMS ◽  
2020 ◽  
Vol 23 (1) ◽  
pp. 48-49
Author(s):  
Javaid Ahmad Bhat ◽  
Shariq Rashid Masoodi
Keyword(s):  
Staphylococcus Aureus ◽  
Antimicrobial Resistance ◽  
Tertiary Care ◽  
Resistance Mechanisms ◽  
North India ◽  
Global Public Health ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Effective Prevention ◽  
Mupirocin Resistance

Apropos to the article by Dr Bali, titled “Mupirocin resistance in clinical isolates of methicillin-sensitive and resistant Staphylococcus aureus in a tertiary care centre of North India” (1), the authors have raised important issue of emerging antimicrobial resistance (AMR). Antimicrobial resistance is an increasingly serious threat to global public health that requires action across all government sectors and society. As per WHO, AMR lurks the effective prevention and management of an ever-increasing spectrum of infections caused by bacteria, parasites, fungi and viruses. Novel resistance mechanisms are emerging and spreading globally, threatening the man’s ability to treat common infectious diseases.

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