Clinical, Radiographic and Histological Assessments of a Rare Case of Intraosseous Arteriovenous Malformation in Maxilla Occurred During Pregnancy: A Case Report
,
Abstract
Objective: Intraosseous Arteriovenous malformation (AVM) is a vascular hamartoma with almost 50% of
cases occurring in the head and neck. These lesions are of great importance as they may cause massive
bleeding during tooth extraction and surgeries.
Case report: A 33 year old female complained of swelling and gingival bleeding on the right side of the
maxilla and hard palate. The swelling was noticed during pregnancy and the patient underwent a
surgical excision 6 months after labor. The specimen was submitted for histological examination. An
intraosseous AVM presenting in maxilla was diagnosed.
Conclusion: Although rare, intraosseous AVM may occur. The role of pregnancy and hormonal changes is
still controversial. Clinical, radiographic and histological characteristics of AVM should be thoroughly
assessed before surgical excision.
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9. Seehra J, Horner K, Coulthard P. Arteriovenous malformation of the mandible—a case report. Br Dent
J 2006; 201: 25-7.
10. Kacker A, Heier L, Jones J. Large intraosseous arteriovenous malformation of the maxilla—a case report with review of literature. Int J Pediatr Otorhinolaryngol 2000; 52: 89-92.
11. Elliott JA, Rankin RN, Inwood MJ, Milne JK. An arteriovenous malformation in pregnancy: a case report and review of the literature. Am J Obstet Gynecol 1985; 152: 85-8.
12. Geary M, McParland P. Multiple and massive arteriovenous malformations in pregnancy. Eur J Obstet Gynecol Reprod Biol 1996; 64: 147-50.
13. Kaya B, Işılgan SE, Cerkez C, Otrakçı V, Serel S. Intraosseous cavernous hemangioma: a rare presentation in maxilla. Eplasty 2014; 14: e35.
14. White SC, Pharoah MJ. White and Pharoah's Oral Radiology E-Book: Principles and Interpretation: Elsevier
Health Sciences; 2018.
15. Atkinson AL, George A, Long J. Arteriovenous malformation in a child with extensive involvement of the mandible and maxilla. Case Rep Neurol 2010; 2: 85-90.
16. Manzocchi Besson S, Jastrow Meyer N, Bounameaux H, La Scala GC, Calza AM, Yilmaz H, et al. Multiple arteriovenous malformations caused by RASA1 gene mutation presenting during pregnancy–a case report and review of the literature. Vasa 2019; 48: 276-80.
17. Huang Z, Zhang D, Chen Y, Wang Y, Chen W, Huang Z. Treatment of the recanalization of maxillary and mandibular arteriovenous malformations in children. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 122: 530-6.
18. Martines F, Immordino V. Arteriovenous malformation
of the base of tongue in pregnancy: case report. Acta Otorhinolaryngol Ital 2009; 29: 274-8.
19. De Riu G, Sanna MP. Mandibular arteriovenous malformation in pregnancy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 87: 396-7.
2. Sasaki R, Okamoto T, Komiya C, Uchiyama H, Ando T, Ogiuchi H. Mandibular gingival arteriovenous malformation in pregnancy. Br J Oral Maxillofac Surg 2008; 46: 675-6.
3. Nabeel AK, Jacob JE, Bose T, Sangeetha KP, Sandhya KN, Balan A. Great radiologic imitators: Arteriovenous malformation of mandible–A case series. Contemp Clin Dent 2018; 9: 502-8.
4. Li X, Su L, Wang D, Gui Z, Jiang M, Yang X, et al. Clinical and imaging features of intraosseous arteriovenous malformations in jaws: a 15-year experience of single centre. Sci Rep 2020; 10: 12046.
5. Shailaja SR, Manjula MM, Kumar LV. Arteriovenous malformation of the mandible and parotid gland. Dentomaxillofac Radiol 2012; 41: 609-14.
6. Liu DG, Ma XC, Zhao FY, Zhang JG. A preliminary study of angiographic classification and its correlation to treatment of central arteriovenous malformation in the jaw. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100: 473-80.
7. Ludlow JB, Ivanovic M. Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106: 106-14.
8. Steiner JE, Drolet BA. Classification of Vascular Anomalies: An Update. Semin Intervent Radiol 2017; 34: 225-32.
9. Seehra J, Horner K, Coulthard P. Arteriovenous malformation of the mandible—a case report. Br Dent
J 2006; 201: 25-7.
10. Kacker A, Heier L, Jones J. Large intraosseous arteriovenous malformation of the maxilla—a case report with review of literature. Int J Pediatr Otorhinolaryngol 2000; 52: 89-92.
11. Elliott JA, Rankin RN, Inwood MJ, Milne JK. An arteriovenous malformation in pregnancy: a case report and review of the literature. Am J Obstet Gynecol 1985; 152: 85-8.
12. Geary M, McParland P. Multiple and massive arteriovenous malformations in pregnancy. Eur J Obstet Gynecol Reprod Biol 1996; 64: 147-50.
13. Kaya B, Işılgan SE, Cerkez C, Otrakçı V, Serel S. Intraosseous cavernous hemangioma: a rare presentation in maxilla. Eplasty 2014; 14: e35.
14. White SC, Pharoah MJ. White and Pharoah's Oral Radiology E-Book: Principles and Interpretation: Elsevier
Health Sciences; 2018.
15. Atkinson AL, George A, Long J. Arteriovenous malformation in a child with extensive involvement of the mandible and maxilla. Case Rep Neurol 2010; 2: 85-90.
16. Manzocchi Besson S, Jastrow Meyer N, Bounameaux H, La Scala GC, Calza AM, Yilmaz H, et al. Multiple arteriovenous malformations caused by RASA1 gene mutation presenting during pregnancy–a case report and review of the literature. Vasa 2019; 48: 276-80.
17. Huang Z, Zhang D, Chen Y, Wang Y, Chen W, Huang Z. Treatment of the recanalization of maxillary and mandibular arteriovenous malformations in children. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 122: 530-6.
18. Martines F, Immordino V. Arteriovenous malformation
of the base of tongue in pregnancy: case report. Acta Otorhinolaryngol Ital 2009; 29: 274-8.
19. De Riu G, Sanna MP. Mandibular arteriovenous malformation in pregnancy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 87: 396-7.
| Files | ||
| Issue | Vol 15, No 3 (September 2021) | |
| Section | Case Reports | |
| DOI | https://doi.org/10.18502/jfrh.v15i3.7141 | |
| Keywords | ||
| Arteriovenous Malformations Maxilla Cone-Beam Computed Tomography Pregnancy | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Ghazizadeh Ahsaie M, Tabrizi R, Alizadehtabrizi M, Gholami Toghchi S. Clinical, Radiographic and Histological Assessments of a Rare Case of Intraosseous Arteriovenous Malformation in Maxilla Occurred During Pregnancy: A Case Report. J Family Reprod Health. 2021;15(3):215-219.
