Eruption of a venous malformation through an iliac bone harvesting site after trauma
| Autor: | Yuuki Uchida, Tatsuki Kono, Toshinori Hokazono, Atsuomi Saiga, Kensuke Katsuki, Keiichi Tamagawa, Misako Nomura |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
lcsh:Surgery Case Report 030204 cardiovascular system & hematology 030230 surgery Iliac crest Trauma 03 medical and health sciences 0302 clinical medicine Iliac bone Right Inguinal Region medicine Bone graft medicine.diagnostic_test biology business.industry Gluteus minimus Clinical course Magnetic resonance imaging lcsh:RD1-811 medicine.disease biology.organism_classification Surgery medicine.anatomical_structure Venous malformations Complication Venous malformation business |
| Zdroj: | Archives of Plastic Surgery, Vol 45, Iss 6, Pp 588-592 (2018) Archives of Plastic Surgery |
| ISSN: | 2234-6171 2234-6163 |
| Popis: | Harvesting grafts from the anterior iliac bone has been associated with various complications. A 50-year-old woman presented to our department with a chief complaint of right inguinal swelling and pain. Autologous bone grafts had been harvested on two previous occasions from the right anterior iliac crest for use in the reconstruction of multiple facial fractures. Computed tomography and magnetic resonance imaging revealed a full-thickness bone defect in the right anterior iliac crest. A mass was noted in the right gluteus minimus, while a multilocular cystic mass extended from the right iliac crest defect to the right inguinal region. Both the inguinal mass and gluteal mass were removed under general anesthesia. Following histopathological analysis, the gluteal mass was diagnosed as a venous malformation(VM). Based on the patient’s clinical course, iliac bone graft harvesting and trauma to the gluteal region triggered hemorrhaging from the VM. Blood components leaked out from the fragile portion of the iliac bone defect, forming a cystic lesion that developed into the inguinal mass. In this case, a coincidental VM resulted in a rare complication of iliac bone graft harvesting. These sequelae could have been avoided by planning for more appropriate ways to collect the grafts. |
| Databáze: | OpenAIRE |
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