Orbital lymphatic-venous malformation with concomitant spontaneous orbital arteriovenous fistula: Case report

The authors describe the case of an 11-year-old boy with no history of prior trauma, who experienced acute proptosis and visual loss while showering. Diagnostic carotid artery angiography revealed an orbital lymphatic-venous malformation (LVM) concomitant with an intraorbital arteriovenous fistula....

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Bibliographic Details
Main Authors: Bunyada Putthirangsiwong, Dinesh Selva, Weerawan Chokthaweesak, Ekachat Chanthanaphak, Sirintara Singhara Na Ayudhaya
Other Authors: Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Format: Review
Published: 2019
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/46967
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Institution: Mahidol University
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Summary:The authors describe the case of an 11-year-old boy with no history of prior trauma, who experienced acute proptosis and visual loss while showering. Diagnostic carotid artery angiography revealed an orbital lymphatic-venous malformation (LVM) concomitant with an intraorbital arteriovenous fistula. The patient was treated with transvenous coil and N-butyl cyanoacrylate glue embolization, combined with direct percutaneous glue injection into the LVM followed by excision. There was good clinical and radiological response without recurrence at the 2-year follow-up. Diagnostic carotid angiography should be considered in cases of orbital LVM, as a concomitant arteriovenous fistula might be present in rare cases.