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一名3岁女性面部动静脉畸形的罕见病例。

A Rare Case of Facial Arteriovenous Malformation in a 3-Year-Old Female.

作者信息

Pedun Bernadette, Pitua Ivaan, Bongomin Felix, Nabbosa Valeria, Bugeza Samuel

机构信息

Uganda Cancer Institute Kampala Uganda.

School of Medicine, College of Health Sciences Makerere University Kampala Uganda.

出版信息

Clin Case Rep. 2025 Jan 27;13(2):e70155. doi: 10.1002/ccr3.70155. eCollection 2025 Feb.

Abstract

Arteriovenous malformation (AVM) is a rare congenital vascular anomaly involving abnormal artery-vein connections that bypass the capillary system. AVMs are particularly uncommon in young children. A 3-year-old girl presented with a painless, progressively enlarging left cheek swelling since birth. Clinical examination showed left facial asymmetry with a nontender, pulsatile mass in the left parotid region without skin changes or visible collateral vessels. Computed tomography angiography revealed an enhancing mass in the left parotid region with feeding and draining vessels. The patient was referred to vascular surgery for further management. AVM's rarity in pediatrics highlights the need for further research in genetic and developmental factors, aiming to improve early detection, management, and outcomes for affected children.

摘要

动静脉畸形(AVM)是一种罕见的先天性血管异常,涉及绕过毛细血管系统的异常动静脉连接。AVM在幼儿中尤为罕见。一名3岁女孩自出生以来左侧脸颊出现无痛性、逐渐增大的肿胀。临床检查显示左侧面部不对称,左侧腮腺区有一个无压痛、搏动性肿块,无皮肤改变或可见的侧支血管。计算机断层血管造影显示左侧腮腺区有一个强化肿块,伴有供血和引流血管。该患者被转诊至血管外科进行进一步治疗。AVM在儿科的罕见性凸显了对遗传和发育因素进行进一步研究的必要性,旨在改善对受影响儿童的早期检测、治疗和预后。

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