Mollah A H, Islam M S, Ghafoor N, Morshed S S, Kar T K, Kabir A L, Tabassum N
Professor Md Abid Hossain Mollah, Professor of Pediatrics, Dhaka Medical College, Dhaka, Bangladesh; E-mail:
Mymensingh Med J. 2017 Jan;26(1):212-215.
A 6-year-old boy from Comilla, was admitted in Dhaka Medical College Hospital with exertional dyspnea, central cyanosis, clubbing and was finally diagnosed as pulmonary Arterio-Venous Malformation (PAVM) by bubble contrast echocardiography, and pulmonary CT angiography. As PAVM is rare in children, it is often not thought of in differential diagnoses and the diagnosis remains in disguise. In this report, we described the clinical presentation of 6-year-old child with PAVM and also how to investigate the case to get the diagnosis.
一名来自科米拉的6岁男孩因劳力性呼吸困难、中心性发绀、杵状指入住达卡医学院医院,最终经气泡对比超声心动图和肺部CT血管造影诊断为肺动静脉畸形(PAVM)。由于PAVM在儿童中较为罕见,在鉴别诊断中常常不被考虑,诊断往往被忽视。在本报告中,我们描述了一名患有PAVM的6岁儿童的临床表现,以及如何对该病例进行检查以做出诊断。