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Surgical Emergencies in Intestinal Venous Malformations.
Martha Isabel Romo Muñoz1, Alba Bueno1, Carlos De La Torre1
1Department of Pediatric Surgery, Hospital Universitario La Paz, Madrid, Spain.
Summary
Intestinal venous malformations (VMs) are often asymptomatic, posing diagnostic challenges. However, severe complications like acute abdomen can necessitate emergency surgery, highlighting the importance of considering VMs in emergency diagnoses.
Area of Science:
- Gastroenterology
- Vascular Anomalies
- Surgical Emergencies
Background:
- Venous malformations (VMs) frequently occur in the gastrointestinal tract.
- Asymptomatic nature of VMs presents diagnostic challenges.
- Intestinal VMs can lead to severe, emergent complications.
Purpose of the Study:
- To analyze patients with intestinal VMs.
- To focus on cases requiring emergency surgery.
Main Methods:
- Retrospective study of patients with complicated intestinal VMs.
- Assessment of clinical records, anomalies, findings, and treatment.
Main Results:
- 21 patients diagnosed with intestinal VMs (16 with blue rubber bleb nevus syndrome, 5 isolated).
- 4 patients (19%) required emergency surgery for acute abdomen with instability.
- Complications included gastrointestinal bleeding, volvulus, and intussusception.
Conclusions:
- Intestinal VMs pose diagnostic challenges in emergency settings.
- Complications, though infrequent, must be considered in acute abdominal cases.
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