Fard Mahmoud Omrani, Yousofnejad Omid, Heydari Mohammadbagher
Department of Surgery, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Surgery, Imam Reza Hospital, Kermanshah University of Medical Science, Kermanshah, Iran.
Adv Biomed Res. 2017 Jul 14;6:82. doi: 10.4103/2277-9175.210663. eCollection 2017.
Most of the vascular lesions on head and neck soft tissue are congenital, but a rare cause can be trauma. A 23-year-old man came to our clinic with a wide pulsatile tortuous mass in the left temporofrontal area. That mass was appeared since 10 years ago. Ten years before his coming to our clinic, he had a blunt trauma in that area. After that, a small wound appeared there and healed gradually. In clinical examination, mass was large and pulsatile, and a fine murmur was detected from it. In paraclinical examination, computed tomography scan with intravenous contrast and sonography revealed a vascular mass with arteriovenous (AV) fistula in soft tissue only in that area. We operated him and vascular mass completely excised without recurrency. Pathologic report was AV malformation (AVM). According to our study, also rare trauma is one of the causes of AVMs, and we able to resection it completely without recurrency.
头颈部软组织的大多数血管病变是先天性的，但罕见的病因可能是创伤。一名23岁男性来到我们诊所，其左颞额部有一个广泛的搏动性迂曲肿块。该肿块自10年前就已出现。在他来我们诊所的十年前，该区域遭受过钝器创伤。之后，该部位出现一个小伤口并逐渐愈合。临床检查时，肿块较大且有搏动，从中可检测到微弱杂音。辅助检查中，静脉造影计算机断层扫描和超声检查显示仅在该区域的软组织中有一个伴有动静脉（AV）瘘的血管性肿块。我们为他进行了手术，血管性肿块被完全切除且未复发。病理报告为动静脉畸形（AVM）。根据我们的研究，罕见的创伤也是动静脉畸形的病因之一，并且我们能够将其完全切除且不复发。
