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INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2456-4184 | Impact factor: 8.76 | ESTD Year: 2016 Scholarly open access journals, Peer-reviewed, and Refereed Journals, Impact factor 8.76 (Calculate by google scholar and Semantic Scholar | AI-Powered Research Tool) , Multidisciplinary, Monthly, Indexing in all major database & Metadata, Citation Generator, Digital Object Identifier(DOI) |
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| Paper Title: | Arterio-venous malformation in appendix; Case report |
| Authors Name: | Sachini Sineka , B.P.N.Wijerathne |
| Download E-Certificate: | Download |
| Author Reg. ID: |
IJNRD_191178
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| Published Paper Id: | IJNRD2304228 |
| Published In: | Volume 8 Issue 4, April-2023 |
| DOI: | |
| Abstract: | Introduction Arterio-venous malformations (AVM) are architectural abnormalities of blood vessels. Appendicular AVMs are rare and we present one presenting as acute abdomen. Case study 44-year healthy male presented with lower abdominal pain and vomiting. He was ill, but the vitals were stable. His abdomen was distended with a mass palpable on the central and left lower quadrant with localized peritonitis. Inflammatory markers were high. USS showed a large heterogeneous mass within the peritoneal cavity with focal hemorrhagic areas and free fluid mimicking a bleeding GIST. CECT showed 10*12*8 cm size enhancing lesion occupying the pelvis with significant peri-lesion stranding, compressing the bladder and bowel with few mesenteric lymph nodes. Liver was normal. CECT Differential diagnoses were desmoids and GIST. On laparotomy, pelvic mass was identified attached to the bladder and rectum covered with small bowel loops. On careful dissection there was clotted blood with appendicular tip inside which is unhealthy and ulcerated, and rest of it was normal. Other abdominal organs were normal. Appendectomy was done and sent for histology. Clot removed. Peritoneal lavage done. Patient fully recovered. Histology showed a benign lesion in appendix favoring an AVM with hemorrhagic necrosis. Discussion AVM are congenital architectural disorganizations in blood vessels. About 12% of AVM become symptomatic and present as acute appendicitis or acute abdomen due to bleeding. Almost all the cases of AVM were diagnosed post operatively. Intra-abdominal AVM might be treated pre operatively if found to prevent compilations. Laparoscopy was an option but decided on laparotomy as the mass is large and uncertainty of the diagnosis |
| Keywords: | Appendix, Arteriovenous malformation, Acute abdomen, Rare |
| Cite Article: | "Arterio-venous malformation in appendix; Case report", International Journal of Novel Research and Development (www.ijnrd.org), ISSN:2456-4184, Vol.8, Issue 4, page no.c237-c238, April-2023, Available :http://www.ijnrd.org/papers/IJNRD2304228.pdf |
| Downloads: | 000118751 |
| ISSN: |
2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar| ESTD YEAR: 2016 An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.76 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator |
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Published Paper ID:IJNRD2304228 Registration ID: 191178 Published In: Volume 8 Issue 4, April-2023 DOI (Digital Object Identifier): Page No: c237-c238 Country: Ibbagamuwa. Kurunegala, North western, Sri Lanka Research Area: Medical Science Publisher : IJ Publication Published Paper URL : https://www.ijnrd.org/viewpaperforall?paper=IJNRD2304228 Published Paper PDF: https://www.ijnrd.org/papers/IJNRD2304228 |
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ISSN: 2456-4184
Impact Factor: 8.76 and ISSN APPROVED
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