Venous malformation differential diagnosis with an odontogenic abscess on a pediatric patient. Case report and review of the literature
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María Álvaro-Martinez [1] ; Carolina Cuesta-Urquía [1] ; Luis Ortiz-Peces [1] ; Jorge Noguera-Tomás [1] ; Teresa González-Otero [1] ; José- Luis Cebrián-Carretero [1]
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[1] Hospital Universitario La Paz
Hospital Universitario La Paz
Madrid, España
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- Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 16, Nº. 3 (March), 2024, págs. 387-390
- Idioma: inglés
- Enlaces
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Resumen
Venous malformations (VMs) are aberrant venous vessel angiogenesis present at birth. However, they can become apparent later in life, debuting in early childhood. This poses a clinical quest for surgeons, dentists, and pediatricians, as they might appear as a compressible mass in the head and neck region, not uncommonly mistaking them for odontogenic abscesses or other soft tissue tumors. The differential diagnosis can be challenging and imaging techniques are often needed. Ultrasounds are extremely useful initially as other diagnostic tools can be potentially harmful in the context of a VM. MRI is key as it provides accurate extension and location information, and allows to plan invasive treatment alternatives if the patient requires it. In this article, we present the case of a 6-year-old girl who was treated by mistake for an infection upon the diagnosis of an incipient odontogenic abscess instead of a venous malformation, and a literature review on VMs.
