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Surgical Emergencies in Intestinal Venous Malformations.
- Source :
-
European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie [Eur J Pediatr Surg] 2018 Feb; Vol. 28 (1), pp. 101-104. Date of Electronic Publication: 2017 Sep 25. - Publication Year :
- 2018
-
Abstract
- Background: Venous malformations (VMs) can occur in any part of the body; however, the gastrointestinal tract is a frequent location. These are usually asymptomatic, thus, representing a challenge to diagnosis. Intestinal location of VMs can be associated with severe complications that ultimately require an emergency surgery. Our aim was to analyze all patients with an intestinal VM with special focus on those who required emergency surgery.<br />Materials and Methods: A retrospective study of patients presenting complication caused by intestinal VM was performed. Clinical records, associated anomalies, physical findings, and treatment were assessed.<br />Results: Twenty-one patients had a diagnosis of intestinal VM, 16 (76%) were associated to blue rubber bleb nevus syndrome (BRBNS) and 5 (24%) were isolated. Only four (19%) of the total cases presented an episode of acute abdomen with hemodynamic instability that required an emergency surgery. Findings included two gastrointestinal bleedings, one volvulus, and one intussusception of small bowel. All patients underwent an uneventful recovery and are presently doing well.<br />Conclusion: Intestinal VM can be challenging to diagnose in emergency situations, such as gastrointestinal situation or acute abdomen. The complications associated with it must be kept in mind, regardless of its low incidence.<br />Competing Interests: Conflict of Interest: None.<br /> (Georg Thieme Verlag KG Stuttgart · New York.)
- Subjects :
- Child
Child, Preschool
Female
Gastrointestinal Neoplasms complications
Humans
Male
Nevus, Blue complications
Retrospective Studies
Skin Neoplasms complications
Treatment Outcome
Vascular Malformations complications
Veins surgery
Emergencies
Intestines blood supply
Vascular Malformations diagnosis
Vascular Malformations surgery
Veins abnormalities
Subjects
Details
- Language :
- English
- ISSN :
- 1439-359X
- Volume :
- 28
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
- Publication Type :
- Academic Journal
- Accession number :
- 28946166
- Full Text :
- https://doi.org/10.1055/s-0037-1606846