A Case of Arteriovenous Malformation Involving the Hand

  • Omar Mourafiq Department of Orthopaedic Surgery & Traumatology II, Mohamed V Military Hospital, Rabat 10000.
  • Abdelmoughit Echchaoui Department of plastic and reconstructive surgery; Ibn Sina University Hospital; Rabat 10000 Morocco.
  • Mohamed Tbouda Department of Histopathology, Mohamed V Military Hospital, Rabat 10000.
  • Bouchaib Chefry Department of Orthopaedic Surgery & Traumatology II, Mohamed V Military Hospital, Rabat 10000.
  • Ahmed Salim Bouabid Department of Orthopaedic Surgery & Traumatology II, Mohamed V Military Hospital, Rabat 10000.
  • Driss Benchebba Department of Orthopaedic Surgery & Traumatology II, Mohamed V Military Hospital, Rabat 10000.
  • Moustapha Boussouga Department of Orthopaedic Surgery & Traumatology II, Mohamed V Military Hospital, Rabat 10000.
Keywords: arteriovenous malformations, vascular malformations,  management,  hand

Abstract

Arteriovenous malformations of the hand and wrist are uncommon and may involve any anatomic structure of the body. They may often lead to chronic pain and dysfunction. Treatment ranges from conservative measures to amputation with a high risk of complications and recurrence. We hereby report a rare case of an arteriovenous malformation in a 47-year-old woman who presented with a painless swelling of the dorsum of her left hand, which was treated successfully by surgical excision

References

Lemarchand-Venencie F. Classification des angiomes: hemangiomes et malformations vasculaires superficielles. Rev Prat. 1992;42(16):1998–2004

Ek ET, Suh N, Carlson MG. Vascular anomalies of the hand and wrist. J Am Acad Orthop Surg. 2014;22(6):352–360. DOI: http://doi.org/10.5435/JAAOS-22-06-352

Shokrollahi K, Hiew LY, Robinson M, Evans RM, Jackson JE, Laing JHE. Arteriovenous malformation of the hand: challenges in diagnosis and management. J Surg. 2004;2(1):50–51. DOI: http://doi.org/10.1016/S1743-9191(06)60028-9

Echchaoui A, Mourafiq O, Al Ahmad A, et al. Vascular malformation of the hand: a challenge of management. Galic'kij likars'kij visnik. 2017;24(1):E201714 DOI: http://doi.org/10.21802/gmj.2017.1.4

Park UJ, Do YS, Park KB, Park HS, Kim YW, Lee BB, Kim DI. Treatment of arteriovenous malformations involving the hand. Ann Vasc Surg. 2012;26(5):643–648. DOI: http://doi.org/10.1016/j.avsg.2011.08.016 [PMid: 22266239]

Hutchinson DT. Color duplex imaging. Applications to upper-extremity and microvascular surgery. Hand Clin. 1993;9:47–57. [PMid: 8444974]

Hardwicke JT, Titley OG. Thermographic Assessment of a Vascular Malformation of the Hand: A New Imaging Modality. J Clin Imaging Sci. 2016;6:9 DOI: http://doi.org/10.4103/2156-7514.179414

Park HS, Do YS, Park KB, Kim DI, Kim YW, Kim MJ, et al. Ethanol embolotherapy of hand arteriovenous malformations. J Vasc Surg. 2011;53(3):725–731. DOI: http://doi.org/10.1016/j.jvs.2010.09.028

Lu LI, Chen DJ, Chen HC, Coessens B. Arteriovenous malformation involving the thumb and hand: radical excision and reconstruction of multiple components. Ann Plast Surg. 2002;49(4):414–418

Guevara CJ, Gonzalez-Araiza G, Kim SK, Sheybani E, Darcy MD. Sclerotherapy of Diffuse and Infiltrative Venous Malformations of the Hand and Distal Forearm. Cardiovasc Intervent Radiol. 2016;39(5):705–710. DOI: http://doi.org/10.1007/s00270-015-1277-y

Niechajev IA, Karlsson S. Vascular tumors of the hand. Scand J Plast Reconstr Surg. 1982;16:67–75. DOI: http://doi.org/10.3109/02844318209006572

Published
2017-06-12
Section
Case Reports