Saad Abdalla Al-Zawi Abdalla, Shah Ahmed, Asaad Amira, Jalilzadeh Afshari Saman, Alowami Salem
General & Breast Surgery, Mid and South Essex University Hospital Group, Basildon, GBR.
General & Breast Surgery, Basildon and Thurrock University Hospital, Basildon, GBR.
Cureus. 2023 Jun 30;15(6):e41206. doi: 10.7759/cureus.41206. eCollection 2023 Jun.
Direct communication between dysmorphic arteries and veins without an interceding capillary segment is known as arteriovenous malformation (AVM). Its etiology is still unknown; however, it is commonly acknowledged that it could be related to trauma or is congenital in origin. Often, AVMs are found in the central nervous system or other sites such as under the skin or in the deep solid organs. They can be encountered as a solitary abnormality or associated with another pathology. If they are large enough, they can deprive the neighboring tissue of oxygen, eventually leading to tissue damage and compressing the surrounding organs, causing potentially more serious consequences. AVM in parathyroid adenoma is an unusual entity in the medical reports and known clinical practice. We herein report a unique case of a 49-year-old female patient who presented with a neck mass and associated symptoms of hyperparathyroidism (HPT) with no history of previous trauma or surgery. The imaging and laboratory tests were consistent with parathyroid neoplasm. Parathyroidectomy was performed and revealed parathyroid adenoma with AVM.
畸形动脉与静脉之间没有中间毛细血管段的直接连通被称为动静脉畸形（AVM）。其病因尚不清楚；然而，人们普遍认为它可能与创伤有关或为先天性起源。动静脉畸形通常见于中枢神经系统或其他部位，如皮肤下或深部实体器官。它们可能以孤立性异常出现，也可能与其他病理情况相关。如果它们足够大，会使邻近组织缺氧，最终导致组织损伤并压迫周围器官，从而引发潜在的更严重后果。甲状旁腺腺瘤中的动静脉畸形在医学报告和已知临床实践中是一种不常见的情况。我们在此报告一例独特病例，一名49岁女性患者，出现颈部肿块并伴有甲状旁腺功能亢进（HPT）相关症状，既往无创伤或手术史。影像学和实验室检查结果与甲状旁腺肿瘤一致。进行了甲状旁腺切除术，结果显示为伴有动静脉畸形的甲状旁腺腺瘤。
