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Showing posts from April, 2019

venous malformation forearm

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Venous malformation is a bunch of dilated veins. They are due to abnormal smooth muscle in the veins  of  of affected part. Lesions behave like congenital varicose vein;they dilate slowly over time,blood stagnation can cause thrombosis and pain. Endothelial cell are normal , intralesional clotting often occurs. Phleboliths are formed due to calcified intravascular fibrovascular ingrowth. They are typical of venous malformation. Psychosocial problem are often found because of its appearance. Pain,bleeding,ulceration and Obstruction and destruction of tissues . Sclerotherapy Lasers  Surgical excision pre op photo post op at three weeks after excision of venous malformation 28 year old male presents with swelling on forearm , pain On movement.Swelling is compressible, non tender. MRI revealed extensive venous malformation on dorsal aspect of forearm. He was planned for surgery, near total resection of malformation was done. Left

Neck AV malformation resection

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Av malformation is a complex thing to treat with no easy solutions. They are of various types Vascular tumors 1 infantile haemangioma 2 haemangioendothelioma 3Haemangiopericytoma Slow flow malformations 1 capillary malformation 2 Venous malformations 3 Lymphatic malformation 4 Combined Fast flow malformation 3 Arterial venous malformations 4 ArterialVeno fistula 5 combined These vascular malformations come in various symptoms pain , bleeding , swelling, throbbing sensation , ulceration , compression. pre op view AV malformation post view final defect Final defect  skin flaps being tacked Add caption skin graft after one week 40 year old with a complex vascular malformation on posterior and lateral aspects of neck. He was operated 5 times .  MRI showed intramuscular and above fascia  extent of malformation. So it was decided to embolism below fascia malformation and excise above fascia malf