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Year : 2015  |  Volume : 3  |  Issue : 1  |  Page : 101-105

Peripheral venous malformations and pulmonary hypertension: A case report and literature review

1 Department of General Medicine, Vydehi Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India
2 Department of Nephrology, Vydehi Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India

Correspondence Address:
Dr. Nambakam Tanuja Subramanyam
A-29, Vydehi Hospital staff quarters, 82, EPIP area, Whitefield, Bangalore - 560 066, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2321-4848.154957

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Extensive pure peripheral venous malformations are rare. We report occurrence of peripheral venous malformations associated with pulmonary hypertension in a middle-aged male, who had nodular, irregular, soft, compressible, painless, non-pulsatile swellings over dependant positions such as forearms, hands, axilla, and genitalia, with overgrowth of hands and fingers enlarging slowly since early childhood. He had right ventricular failure signs. Plain films showed soft-tissue mass with diffuse calcifications (phleboliths). Doppler study showed low flow vascular channels, compressible hypoechoic lesions along with occasional hyperechoeic lesion corresponding with phleboliths. Magnetic resonance imaging (MRI, T1-weighted) showed polypoidal mass with heterogenous hypo to intermediate signal with no flow voids. T2-weighted MRI showed high-signal intensity mass. Computed tomography (CT) pulmonary angiogram showed pulmonary hypertension, no thrombi or vascular malformation. He was treated with angiotensin-converting enzyme inhibitors, diuretics, amiodarone, antiplatelets, and venous stockings. Specific therapy such as sclerosis and surgical resection could not be done as he was discharged against medical advice.

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