Giant Vascular Malformation in an Infant’s Hand
Journal Title: Sultan Qaboos University Medical Journal - Year 2019, Vol 19, Issue 3
Abstract
A40-day-old infant weighing referred to the Department of Paediatric Surgery at Pandit Bhagwat Dayal Sharma 3.5 kg was Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India, in 2016 with swelling of the left hand since birth. Te swelling was soft, oval and approximately 9 × 7 cm in size starting from the base of the hand proximally and extending up to the distal interphalangeal joints [Figure 1]. Te size of swelling had progressively increased since birth. Due to the large size of the swelling, movement of the wrist joint was restricted and the hand was grossly deformed. An X-ray of the lesion revealed a soft tissue swelling with multiple calcifcations. Absolute platelet count and coagulation profle were within normal ranges; abdominal ultrasound and chest X-ray were unremarkable. With the differential diagnosis of giant vascular malformation, infantile haemangioma and tufted angioma involving proximal part of all fngers, palmer and dorsal surface of the hand, further interventions were planned. However, the parents chose to discharge the infant against medical advice
Authors and Affiliations
Jasbir Singh, Kamal N. Rattan, Poonam Dalal
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