Su Kuan-Wen, Peng Yen-Shih, Wu Yu-Nian, Tsai Ya-Huei, Lee Hung-Chang
Department of Pediatrics, Taipei Hospital, Department of Health, Executive Yuan, Taipei, Taiwan.
Acta Paediatr Taiwan. 2006 Jul-Aug;47(4):200-4.
Arteriovenous malformation is an uncommon cause of upper gastrointestinal bleeding in children. It should be taken into consideration when a child has upper gastrointestinal bleeding because without proper management, it might be fatal. We report a 10-year-old boy whose initial presentation was massive hematemesis and impending shock. After angiography, arteriovenous malformation (AVM) of the mandible was found and treated with embolization. This 10-year-old boy also had chicken pox during admission. Case reports regarding AVM of dental arches in literature are reviewed and the proposed managements are summarized. Embolization combined with surgical excision might be the optimal way to manage AVM of dental arches.
动静脉畸形是儿童上消化道出血的一种罕见病因。当儿童出现上消化道出血时应考虑到这种病因，因为如果处理不当，可能会致命。我们报告一名10岁男孩，其最初表现为大量呕血和即将发生休克。血管造影后，发现下颌骨动静脉畸形（AVM）并进行了栓塞治疗。该10岁男孩在住院期间还患了水痘。本文回顾了文献中关于牙弓动静脉畸形的病例报告，并总结了建议的治疗方法。栓塞联合手术切除可能是治疗牙弓动静脉畸形的最佳方法。
