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[Thrombosed scapular intramuscular venous malformation: A pediatric case report].

Identifieur interne : 000139 ( France/Analysis ); précédent : 000138; suivant : 000140

[Thrombosed scapular intramuscular venous malformation: A pediatric case report].

Auteurs : A. Fekir [France] ; X. Balguerie [France] ; I. Bardoux [France] ; J-N Dacher [France] ; P-H Vivier [France]

Source :

RBID : pubmed:26047748

English descriptors

Abstract

Venous malformation (VM) is a frequent soft tissue mass in children that should not be confused with vascular tumors. We report the case of a 10-year-old boy with a bulky thrombosed VM of the shoulder with functional disability. D-dimer levels were high. Pathognomonic phleboliths were demonstrated on conventional x-rays. Echo-doppler confirmed the venous nature of the lesion and areas without flow suspicious for thrombosis. MRI provides the deep extension and can show non-calcified thrombi that are difficult to see with ultrasound. Localized intravascular coagulopathy is often associated with thrombosis phenomena and has to be confirmed by measurement of D-dimer levels in order to initiate anticoagulation quickly with low-molecular-weight heparin. Follow-up includes measurement of D-dimer levels and potentially MRI to evaluate the anticoagulation efficacy and tailor treatment duration.

DOI: 10.1016/j.arcped.2015.04.014
PubMed: 26047748


Affiliations:


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Le document en format XML

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