Concluded Case

Peripheral Vascular Disease AVM

A 19 yrs old male having history of swelling over dorsum of left hand for last 5 years. Which is gradually increasing in size. There is no history of trauma. He underwent surgery for its correction but swelling doesnot reduced after it. Suggest the provisional diagnosis. See the intraoperative picture's.

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Concluded answer

Looks like arteriovenous malformation Usg color Doppler Opinion of vas cular surgeon

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This is a tortuous dorsal vein ascending limb of arch probably swollened bcz of collaterals may have been thrombosed in past bcz of some iv counters Or it is a simple aneurysm need not to do any thing Since it is dissected out and recurrence of swelling if it is venous must be some collateral or molecular swelling need to keep under compress brace for a long period or permanently

Thanx dr Mittakola Praveen
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NICE ILLUSTRATION P V D CAN BE CLASSEFIED AS 1 OBLETRATIVE VASCULAR DESEASE 2 VASOSPASTIC DESEASE 3 VASODILATOR DESEASE 1 O V D THROMBOENGITENS OBLETERANS BERGERS DEASES PRIMARY FEMOROPOPLETEAL DESESSE THROMBOSIS EMBOLISM SYPHLITIC OCLUSION D M 2 VASOSPASTIC RAYNAUDS DESEASE RAUNADS PHENEMENON RSUNADS ATHERSCLERITIC OCLUSION SCALENE DESEASE ERYTHROMYALGIA VASODILATOR DESEASE ACROCYNOSIS

Preoperative picture is like varicose vein. Is there such lesion in any other part of body? Coller Doppler study is required as u mentioned after proper surgery even it remain same.

Angiogram. ... Ankle-brachial index (ABI). ... Doppler ultrasound flow studies. ... Magnetic resonance angiography (MRA). ... Treadmill exercise test. ... Photoplethysmography (PPG). ... Pulse volume recording (PVR) waveform analysis. ... Reactive hyperemia test.

Varicose veins Intraoperative finding like some sutur material Ad X-ray US G

Looks like arteriovenous malformation Usg color Doppler Opinion of vas cular surgeon

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? Vascular or muscular origin. If recurrent may send tissue sample For HPE.

Can be ganglion Or venous malformation

Ganglion

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