Abstract

A RARE CASE OF ARTERIOVENOUS MALFORMATION IN THE LOWER LIMB

Dr.Arun Kumar.S.Bilodi

ABSTRACT

Aim of the study: To report a case of massive enlargement of left lower limb due to diffuse microscopic arteriovenous malformation. Place of Study: A seventeen old girl from, Mysore, Karnataka, India. Period of Study: During the month of June - July 2014. Case Report: A 17 year old female came with history of diffuse swelling of left leg and foot and skin bluish discolouration of the lateral aspect of left thigh, since birth. The lateral 4 toes of left foot are enlarged having circumference of 5 to 6cm. The middle toe was much longer than other toes. The big toe was smaller in size. Patient has pain while walking and subsides on taking rest. She was the only child born to
non consanguineous couple. There was no history of filariasis in the family. Observations: On examination there was generalized massive swelling of the left leg, left foot and lateral four toes in left foot. Big toe is not involved. There was bluish discolouration of the skin on the lateral aspect of left thigh. Discussion: The present study was correlated and well compared with available literature. Conclusion: This is a case of arteriovenous malformation which has given rise to all the above signs and symptoms.

Keywords: Arteriovenous malformation, lymphoedema, deep venous system, dilated veins. INTRODUCTION As per Plasencia et al arteriovenous malformations are abnormal connections between arteries and veins leading to arteriovenous shunting with an intervening network o