Pediatria per immagini
Una tumefazione della parete addominale
An intramuscular arteriovenous abdominal malformation
Francesca Bizzoco1, Ruggiero Francavilla1, Fernanda Cristofori1, Stefano Palladino2, Vincenzo Genchi3
1UO di Pediatria Universitaria Generale e Specialistica, UOS di Gastroenterologia Pediatrica,
2UO di Radiodiagnostica, AUO Policlinico di Bari, Ospedale Pediatrico “Giovanni XXIII”, Università di Bari
3Radiologo pediatra, Apulia Imaging, Bari
Novembre 2022 | DOI: 10.53126/MEBXXVN187
Abstract
A 12-year-old girl complained of a painless, slightly pulsatile abdominal lump for two months. Radiological imaging showed a fusiform lesion within the abdominal wall, between the external and internal oblique muscle, with nonhomogeneous echo-structure and high vascular density at the colour-power-Doppler analysis. The findings suggested an intramuscular arteriovenous malformation. The patient underwent a two-step treatment, namely a preoperative transarterial angioembolization of the nourishing vessels through the right femoral artery that was followed by a surgical resection of the lesion. Recovery was uneventful and during the follow-up no relapses were reported.
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