Intestinal polypoid arteriovenous malformation: unusual presentation in a child and review of the literature

Yazbeck, Nadine; Mahfouz, Imane; Majdalani, Marianne; Tawil, Ayman; Farra, Chantal; Akel, Samir

doi:10.1111/j.1651-2227.2011.02203.x

Cited by 10 publications

(10 citation statements)

References 14 publications

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“…Intestinal AVMs usually involve cecum and right side colon in adult [1][2][3]. However, AVMs of children are frequently developed in jejunum and result in obstruction or intussusception [4,5]. The present case of jejunal AVM in 15-year-old boy is accordant to that.…”

Section: Discussionsupporting

confidence: 52%

Unusual Giant Arteriovenous Malformation in Jejunum: A Case Report

Kim¹,

Goo²

2017

J Korean Assoc Pediatr Surg

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Polypoid or tumorous arteriovenous malformation (AVM) of small intestine is rare and can be misdiagnosed as other tumorous conditions. We experienced a rare case of giant jejunal AVM in a 15-year-old boy, who complained of intense abdominal pain. Ultrasonography and contrast-enhanced CT revealed a 13.5-cm-sized multiseptated cystic mass arising in small intestine, which was mimicking submucosal tumor. It was successfully treated by surgical resection. The specimen showed a multilobulated outbulging submucosal mass in jejunum. Histopathologic evalulation confirmed AVM located in the submucosa, muscularis propria and subserosa. This case is the largest AVM of small intestine among which has ever been reported.

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Section: Discussionsupporting

confidence: 52%

Unusual Giant Arteriovenous Malformation in Jejunum: A Case Report

Kim¹,

Goo²

2017

J Korean Assoc Pediatr Surg

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“…Intestinal polypoid AVMs are rare in all age groups and to date there are only 12 reported cases in the literature ( Table 1 ). 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 Patients are usually over 40 years, and are equally likely to be male or female. The main initial symptom in adults is hematochezia, whereas children present with intestinal obstructions or intussusceptions.…”

Section: Discussionmentioning

confidence: 99%

“…Polypoid arteriovenous malformations (AVMs) in the bowel are very rare and, to the best of our knowledge, only 12 cases have been reported in the medical literature thus far: 10 in adults and two in children. 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 However, there are no reported adult cases of polypoid AVM presenting with intussusception, although one case was reported in a child. 11 …”

Section: Introductionmentioning

confidence: 99%

Polypoid Arteriovenous Malformation Presenting with Jejunojejunal Intussusceptions in an Adult

et al. 2014

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Jejunal polypoid arteriovenous malformations (AVMs) and jejunojejunal intussusceptions are both rare. Here, we present the case of a 61-year-old woman who suffered intermittent episodes of abdominal pain over the course of 13 years. A computed tomography scan of her abdomen and pelvis revealed a distal jejunojejunal intussusception. A suspected low density mass was observed at the tip of the intussusception. Treatment comprised laparoscopic small bowel resection with end-to-end jejunostomy. The final diagnosis was a polypoid AVM measuring 5×3.5×3 cm. We suggest that polypoid AVM should be considered as a differential diagnosis in patients presenting with small intestinal neoplasms.

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“…Gastrointestinal arteriovenous malformations (AVMs) are a rare cause of gastrointestinal (GI) bleeding which account for much less than 5% of nonvariceal upper gastrointestinal bleeding 1 . They can have a variety of clinical manifestations, including abdominal pain, intussusception, chronic anemia, and overt or obscure GI bleeding 2 . Endoscopic findings can vary from a flat red mucosal lesion to polypoid lesions, which impede diagnose and differentiation from other lesions by endoscopic view alone 3,4 .…”

Section: Introductionmentioning

confidence: 99%

A rare cause of gastrointestinal bleeding: Duodenal arteriovenous malformation

Yang

Tsai

2020

Adv in Digestive Medicine

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Arteriovenous malformations are a rare cause of gastrointestinal bleeding. Endoscopic examination can result in a variety of findings, and diagnosis and therapeutic management are uniquely challenging. We present an 83‐year‐old man with a history of hypertension and a 1‐month history of intermittent tarry stools. Esophagogastroduodenoscopy revealed one bulging mass with pulsation in the second portion of the duodenum which was confirmed as a duodenal arteriovenous malformation by angiography. The mass was initially embolized successfully, but subsequent surgical intervention was necessary due to recurrent bleeding eight months after the embolization. A relevant review of English medical literature was also performed in the text.

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Intestinal polypoid arteriovenous malformation: unusual presentation in a child and review of the literature

Abstract: Many paediatric benign and surgical conditions present with similar clinical symptoms; the physician in the emergency department should try to narrow the differential diagnosis and recognize surgical emergencies to avoid any delay in intervention that could be life-threatening.

Cited by 10 publications

References 14 publications

Unusual Giant Arteriovenous Malformation in Jejunum: A Case Report

Unusual Giant Arteriovenous Malformation in Jejunum: A Case Report

Polypoid Arteriovenous Malformation Presenting with Jejunojejunal Intussusceptions in an Adult

A rare cause of gastrointestinal bleeding: Duodenal arteriovenous malformation

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