2019, Number 3
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Rev Med MD 2019; 10.11 (3)
Retromolar hemorrhage due to arteriovenous malformation in pregnancy
Yamamoto-Ramos, Masao; Campos-Coy, Mario Alberto; Villarreal-del Bosque N, Argueta-Ruíz RC, Sada-Treviño MA
Language: Spanish
References: 13
Page: 235-239
PDF size: 599.71 Kb.
ABSTRACT
The vascular anomalies include a wide field of soft tumors that affect 0.5% of the population. The International
Society for the Study of Vascular Abnormalities (ISSVA) divides this pathology in tumors and vascular malformations
due to their biological nature; Vascular tumors are caused by an excessive cellular proliferation and vascular
malformations that are the product of the disembryogenesis of their vessels and pose endothelium normal. The initial
approach is through ultrasound, the MRI evaluates the angioarchitecture and allows the therapeutic planning
requiring to complement by angio CT that assesses bone erosion; In case of doubt, angiography allows us to rule out
aneurysms, venous stenosis or hyper flow angiopathy being its fundamental therapeutic role. We present the case of a
vascular malformation that comes to our hospital due to intermittent retromolar bleeding after a dental organ removal,
with emphasis in the diagnostic approach and management.
REFERENCES
Mulliken JB, Fishman SJ, Greene AK. Evaluation of terminology for vascular anomalies in current literature, Hassanein AH, PlastReconstr Surg. 2011 Jan;127(1):347-51.
Enjolras O. Classification and management of the various superficial vascular anomalies: hemangiomas and vascular malformations. J Dermatol 1997;24 (11):701–710.
Enjolras O, Soupre V, Picard A. Classification of superficial vascular anomalies. Presse Med 2010; 39:457-64
Dubois J, Alison M. Vascular anomalies: what a radiologist needs to know. PediatrRadiol 2010;40(6): 895–905.
Paltiel HJ, Burrows PE, Kozakewich HP, Zurakowski D, Mulliken JB. Soft-tissue vascular anomalies: utility of US for diagnosis. Radiology 2000;214 (3):747–754.
Moukaddam H, Pollak J, Haims AH. MRI characteristics and classification of peripheral vascular malformations and tumors. Skeletal Radiol 2009;38(6): 535–547.
Donnelly LF, Adams DM, Bisset GS 3rd. Vascular malformations and hemangiomas: a practical approach in a multidisciplinary clinic. AJR Am J Roentgenol 2000;174(3):597–608.
Fayad LM, Hazirolan T, Bluemke D, Mitchell S. Vascular malformations in the extremities: emphasis on MR imaging features that guide treatment options. Skeletal Radiol 2006;35(3):127–137.
Legiehn GM et al: A Step-by-Step Practical Approach to Imaging Diagnosis and Interventional Radiologic Therapy in Vascular Malformations. SeminInterventRadiol. 27(2):209-31, 2010.
10.Wassef M, Vanwijck R, Clapuyt L, Boon L, Magalon G. Vascular tumours and malformations, classification, pathology and imaging. Ann ChirPlastEsthet 2006; 51:263-81.
11.Greene AK, Orbach DB. Management of arteriovenous malformations. ClinPlastSurg 2011; 38:95-106
12.LucíaFlors, MD Carlos Leiva-Salinas, MD Ismaeel M. Maged, MD, MSc Patrick T. Norton, MD, MR Imaging of Soft-Tissue Vascular Malformations: Diagnosis, Classification, and Therapy Follow-up 2014; 1321-1340.
13.Dubois J, Garel L. Imaging and therapeutic approach of hemangiomas and vascular malformations in the pediatric age g roup. PediatrRadiol 1999;29 (12):879–893.
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