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Hindi Journal of Clinical Images and Case Reports
Dr. Sujata Sai Author
Publications
Review Article Open Access
LIMB SALVAGE IN AN EXTENSIVE AND COMPLICATED VASCULAR LESION IN AN INFANT
Author(s): Dr. Sujata Sai
Background:
Extensive vascular lesions can endanger the life of a child by their virtue of consumptive coagulopathy or cardiac failure. A conservative surgical approach is difficult and can be life-threatening due to uncontrolled bleeding. We report successful limb salvage in an infant despite an extensive and infected arterio-venous malformation of upper limb, complicated by severe consumptive coagulopathy
Case:
A term male, 3.2kgs, presented with a swelling over left arm detected antenatally. Antenatal scan- soft tissue swelling 10.8 x 6.8 x 5.4cm from left shoulder to elbow with heterogeneous cystic spaces and minimal vascularity.O/E- non compressible, no bruit heard.
Investigations:
Doppler – hypoechoic lesion+ heterogeneous... view more»