Diagnosis of post-traumatic arteriovenous fistula on the back of the tongue: the importance of ultrasonography

Authors

  • Ayrton Galvão de Araujo Junior Faculdade of Ciências Humanas, Exatas e da Saúde do Piauí/Instituto de Educação Superior do Vale do Parnaíba (FAHESP/IESVAP). Parnaíba-PI, Brasil. https://orcid.org/0000-0003-0550-5019
  • Luis Gustavo Caldas de Araujo Faculdade of Ciências Humanas, Exatas e da Saúde do Piauí/Instituto de Educação Superior do Vale do Parnaíba (FAHESP/IESVAP). Parnaíba-PI, Brasil. https://orcid.org/0009-0009-9589-1961
  • Jéssica Moreno Cordeiro Faculdade of Ciências Humanas, Exatas e da Saúde do Piauí/Instituto de Educação Superior do Vale do Parnaíba (FAHESP/IESVAP). Parnaíba-PI, Brasil. https://orcid.org/0000-0002-2954-2968
  • Giuliano da Paz Oliveira Faculdade of Ciências Humanas, Exatas e da Saúde do Piauí/Instituto de Educação Superior do Vale do Parnaíba (FAHESP/IESVAP). Parnaíba-PI, Brasil. https://orcid.org/0000-0002-3141-0032
  • Antonione Santos Bezerra Pinto Faculdade of Ciências Humanas, Exatas e da Saúde do Piauí/Instituto de Educação Superior do Vale do Parnaíba (FAHESP/IESVAP). Parnaíba-PI, Brasil. https://orcid.org/0000-0002-6577-2816

DOI:

https://doi.org/10.60094/RID.20240301-36

Keywords:

Vascular fistula, Mouth, Doppler ultrasonography., Ultrasonography

Abstract

Arteriovenous fistulas (AVF) are vascular anomalies that can occur after trauma in different parts of the body, including the oral cavity, these abnormalities can trigger several consequences for the affected individual. Such abnormality can be classified as acquired, usually after some trauma or hemodialysis, and congenital. Its diagnosis, in turn, is essential for the management of the patient, avoiding clinical complications. In the oral cavity, although rare, it can affect, especially, the dorsum of the tongue. Ultrasonography is an imaging technique that can be useful in diagnosing AVF in the tongue. This technique allows visualizing vascular structures in real time, assessing blood flow and identifying anomalies such as AVFs. The present study aims to report a case of a 39-year-old female patient who presented a post-traumatic AVF caused by a foreign object in the region of the right dorsum of the tongue. During the professional evaluation, it was possible to use color Doppler ultrasonography to elucidate the presence of venous and arterial flow in the abnormal region, corroborating the clinical findings and being essential to close the diagnosis, denoting the important role of this imaging exam.

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References

Jayroe H, Foley K. Arteriovenous fistula [Internet]. StatPearls Publishing, Treasure Island (FL); 2023. Available from: http://europepmc.org/books/NBK559213

Rabtsun A, Lejay A, Saaya S, Bugurov S, Chakfé N, Karpenko A. Post-traumatic arteriovenous fistulas leading to heart failure. EJVES Vasc Forum 2021;53:14–6. DOI: https://doi.org/10.1016/j.ejvsvf.2021.09.001

Salagean M, Ginghina C, Geana RC, Dragulescu R, Stroescu AB, Stiru O, et al. Iatrogenic Iliac arteriovenous fistula amnagement after lumbar discectomy surgeries: a case report and review of the literature. Heart Surg Forum 2020;23(6):E863–6. DOI: https://doi.org/10.1532/hsf.3289

Asensio JA, Dabestani PJ, Miljkovic SS, Wenzl FA, Kessler JJ, Kalamchi LD, et al. Traumatic penetrating arteriovenous fistulas: a collective review. Eur J Trauma Emerg Surg. 2022;48(2):775–89. DOI: https://doi.org/10.1007/s00068-020-01574-z

Montorfano MA, Pla F, Vera L, Cardillo O, Nigra SG, Montorfano LM. Point-of-care ultrasound and doppler ultrasound evaluation of vascular injuries in penetrating and blunt trauma. Crit Ultrasound J. 2017;9(1). DOI: https://doi.org/10.1186/s13089-017-0060-5

Nosher JL, Philip G Murillo, Liszewski M, Gendel V, Gribbin CE. Vascular anomalies: a pictorial review of nomenclature, diagnosis and treatment. World J Radiol [Internet]. 2014;6(9):677-92. DOI: https://doi.org/10.4329/wjr.v6.i9.677

Gaitini D, Beck-Razi N, Engel A, Dogra VS. Sonographic evaluation of vascular injuries. Ultrasound Clin. 2008;3(1):33–48. DOI: https://doi.org/10.1016/j.cult.2007.12.010

Cativo J dos S, Cabral LN, Pinheiro TN, Vieira MS, De Araujo Vasconcelos II AJ. Malformação capilar jugal x trauma parafuncional: relato de caso e tratamento. Arch Heal Investig. 2021;10(6):921–7. DOI: http://dx.doi.org/10.21270/archi.v10i6.5016

Manzano BR, Premoli AM, Santaella NG, Ikuta CRS, Rubira CMF, Santos PS da S. Sclerotherapy as an esthetic indication in oral vascular malformations: a case series. An Bras Dermatol. 2019;94(5):521–6. DOI: https://doi.org/10.1016/j.abd.2019.09.010

Lantz KE, Armstrong SQ, Butt F, Wang ML, Hardman R, Czum JM. Arteriovenous malformations in the setting of osler-weber-rendu: what the radiologist needs to know. Curr Probl Diagn Radiol. 2022;51(3):375–91. DOI: https://doi.org/10.1067/j.cpradiol.2021.03.009

Vieira YP, Vasconcelos II AJA de, Cabral LN, Oliveira VB de, Vieira MS, Barros L do N, et al. Malformação vascular de baixo fluxo causada por trauma em lábio superior: relato de caso. Arch Heal Investig. 2023;12(1):21–5. DOI:http://doi.org/10.21270/archi.v12i1.5919

Oliveira L, Canedo F, Freitas D, Prudente M, Araújo A, Gardenghi G. Percutaneous embolization of pulmonary arteriovenous fistulas. J Transcatheter Interv. 2023;1–5. DOI: https://doi.org/10.31160/jotci202331a20220020

Published

2024-05-15

How to Cite

Galvão de Araujo Junior, A., Caldas de Araujo, L. G., Moreno Cordeiro, J., Oliveira, G. da P., & Bezerra Pinto, A. S. (2024). Diagnosis of post-traumatic arteriovenous fistula on the back of the tongue: the importance of ultrasonography. Reporte Imagenológico Dentomaxilofacial, 3(1), e2024030105 . https://doi.org/10.60094/RID.20240301-36

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