“Giant” Venous Vascular Malformation. an Unresolved Case

Vascular anomalies constitute a spectrum of entities that manifest from an early age and range from a simple birthmark to various disorders with high morbidity and mortality. The nomenclature used to name these diseases has been confusing for many years and, therefore, the International Society for the Study of Vascular Anomalies (ISSVA) proposes separating vascular anomalies into two large groups: tumors and malformations (1).Venous malformations (MV) are the most frequent peripheral vascular malformations (2,3), since they represent more than half of the visits to centers specialized in the management of vascular anomalies, are present at birth, but are usually irrelevant, from a clinical point of view, until childhood or adulthood, when they can become enlarged due to hormonal changes that occur during puberty (2).They are formed by ecstatic vessels, with low blood flow, morphologically and histologically similar to veins. They are divided into superficial or deep, localized, multicentric or diffuse (4). Generally, VMs in the trunk are capable of infiltrating multiple tissue planes, including the skin, subcutaneous fat, muscles, bones, joints, and internal organs (5). We present the case of a 34-year-old male patient who was diagnosed with a “giant” MV in the right lateral region of the trunk, sometimes painful, present since childhood and which has been increasing in size over the years. Years until taking dimensions that affect their daily activities.

Methods:

A qualitative, observational case study type research is carried out to describe in depth a case of scientific relevance for the international medical community due to its infrequency and complexity of resolution.

Results:

The diagnosis of a Vascular Venous Malformation, of low flow, based on the physical examination, the Doppler Ultrasound studies and Angiotac is proposed.

Conclusions:

In the reconstruction of the Angiotac images, the anomalous blood vessel that feeds the malformation cannot be perceived, on the gray scale a color pattern is observed that impresses that there is communication towards the interior of the abdomen, rejecting the viscera. Pending final resolution of your case.