eMedicine Specialties > Plastic Surgery > Skin

Vascular, Capillary Malformations: Multimedia

Author: Ashok Tholpady, MS, University of Virginia School of Medicine
Coauthor(s): Thomas J Gampper, MD, Vice Chair, Department of Surgery, Director of Aesthetic and Laser Surgery, Associate Professor, Departments of Plastic Surgery and Clinical Neurosurgery, University of Virginia
Contributor Information and Disclosures

Updated: Jan 27, 2009

Multimedia

A 12-year-old boy presenting with bluish discolor...
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Media file 1: A 12-year-old boy presenting with bluish discoloration of the right thenar eminence and index finger. The lesion has been present since birth and changes in size when he raises his arms or exercises strenuously. Upon physical examination, the mass is soft and rubbery. No palpable thrill or audible bruit is present. Image 2 is an image from an MRI study of the lesion, and the procedure to excise the lesion is depicted in images 3 and 4.
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A 12-year-old boy presenting with bluish discolor...

A 12-year-old boy presenting with bluish discoloration of the right thenar eminence and index finger. The lesion has been present since birth and changes in size when he raises his arms or exercises strenuously. Upon physical examination, the mass is soft and rubbery. No palpable thrill or audible bruit is present. Image 2 is an image from an MRI study of the lesion, and the procedure to excise the lesion is depicted in images 3 and 4.

An image from an MRI study of the right hand of t...
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Media file 2: An image from an MRI study of the right hand of the patient in Image 1, detailing the vascularity of the lesion.
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An image from an MRI study of the right hand of t...

An image from an MRI study of the right hand of the patient in Image 1, detailing the vascularity of the lesion.

Intraoperative view of the lesion in images 1 and...
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Media file 3: Intraoperative view of the lesion in images 1 and 2. Note the irregular mass of vessels that are adherent to the digital neurovascular bundles, tendons, and lumbrical muscle belly. The excised lesion is depicted in Image 4.
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Intraoperative view of the lesion in images 1 and...

Intraoperative view of the lesion in images 1 and 2. Note the irregular mass of vessels that are adherent to the digital neurovascular bundles, tendons, and lumbrical muscle belly. The excised lesion is depicted in Image 4.

The excised specimen from the patient in images 1...
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Media file 4: The excised specimen from the patient in images 1-3.
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The excised specimen from the patient in images 1...

The excised specimen from the patient in images 1-3.

More on Vascular, Capillary Malformations

Overview: Vascular, Capillary Malformations
Workup: Vascular, Capillary Malformations
Treatment: Vascular, Capillary Malformations
Follow-up: Vascular, Capillary Malformations
Multimedia: Vascular, Capillary Malformations
References
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References

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Further Reading

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Keywords

capillary malformation, capillary malformations, telangiectatic  nevi, low-flow vascular malformation, birthmark, birth mark, hyperkeratotic cutaneous capillary-venous malformation, Parkes-Weber vascular lesion, capillary anomaly, low-flow vascular anomaly, Klippel-Trenaunay-Weber syndrome, Sturge-Weber syndrome, port-wine stain

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Contributor Information and Disclosures

Author

Ashok Tholpady, MS, University of Virginia School of Medicine
Disclosure: Nothing to disclose.

Coauthor(s)

Thomas J Gampper, MD, Vice Chair, Department of Surgery, Director of Aesthetic and Laser Surgery, Associate Professor, Departments of Plastic Surgery and Clinical Neurosurgery, University of Virginia
Thomas J Gampper, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Society for Aesthetic Plastic Surgery, American Society for Laser Medicine and Surgery, American Society of Plastic Surgeons, Association of Academic Chairmen of Plastic Surgery, and Undersea and Hyperbaric Medical Society
Disclosure: Nothing to disclose.

Medical Editor

Shahin Javaheri, MD, Chief, Department of Plastic Surgery, Martinez Veterans Affairs Outpatient Clinic; Consulting Staff, Advanced Aesthetic Plastic & Reconstructive Surgery
Shahin Javaheri, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery and American Society of Plastic Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Wayne Stadelmann, MD, Stadelmann Plastic Surgery, PC
Wayne Stadelmann, MD is a member of the following medical societies: Alpha Omega Alpha, New Hampshire Medical Society, Northeastern Society of Plastic Surgeons, and Phi Beta Kappa
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Director, Colorado Plastic Surgery Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

 
 
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