- by Dr Mamata S.H.(Dr Mamata B.Putantagi)
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- Jun 06 2017
An interesting case of arterio-venous malformation which I operated on a 6 years old boy.
A boy by name Sandeep, 6 years of age, resident of Goa, presented to me with a swelling in the neck, which was noticed by the parents at the age of 6 months. They consulted the doctors locally for same since then with regular follow up. They noticed slow and progressive increase in the size of the swelling and were panicked. Patient consulted one of my surgeon friend Dr Bheemanagouda, Bijapur and was referred to me for further management.
At the time of presentation Sandeep was comfortable in every aspect of food habits and without any breathing difficulty. The complaint was restricted only to the neck swelling. Absolutely the swelling was pain free. He was evaluated clinically and angiography of the neck vessels was carried out. He was diagnosed to have a venous malformation in the subcutaneous plane of the neck extending inferiorly behind the manubrium sterni with mild compression on the trachea (wind pipe) and the surrounding major vessels in the neck which traverse through the neck to supply the brain. It comprised of a small arterial feeder with multiple venous channels.
He was taken up for surgery and excision of the swelling was carried out. The superficial cervical nerve and the facial vein had to be sacrificed during the surgical excision. Peri-operative period was uneventful and the recovery was satisfactory.
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