Coll G E, Goldberg R A, Krauss H, Bateman B J
Division of Orbital and Ophthalmic Plastic Surgery, UCLA School of Medicine 90024-7006.
Am J Ophthalmol. 1991 Aug 15;112(2):200-5. doi: 10.1016/s0002-9394(14)76702-9.
An 8-year-old girl had an orbital-adnexal lymphangioma and ipsilateral orbital and middle cranial fossa arteriovenous malformations. High-resolution magnetic resonance image scanning, orbital ultrasonography, and digital subtraction angiography were used for diagnosis and preoperative assessment. Complications related to this vascular neoplasm included amblyopia, acute hemorrhage with proptosis, exposure keratitis, cosmetic deformity, and recurrent preseptal cellulitis. The girl was treated with both embolization and orbital surgery for recurrent hemorrhage and proptosis. We postulated that the coexistence of a lymphangioma and arteriovenous malformation represents an unusual and extensive maldevelopment of vascular embryogenesis.
一名8岁女孩患有眼眶附件淋巴管瘤以及同侧眼眶和中颅窝动静脉畸形。采用高分辨率磁共振成像扫描、眼眶超声检查和数字减影血管造影进行诊断和术前评估。与这种血管性肿瘤相关的并发症包括弱视、急性出血伴眼球突出、暴露性角膜炎、美容畸形和复发性睑前蜂窝织炎。该女孩因复发性出血和眼球突出接受了栓塞和眼眶手术治疗。我们推测淋巴管瘤和动静脉畸形的共存代表了血管胚胎发育异常且广泛。
