Forearm venous malformation

120 views518y Female10/9/2026

Clinical Presentation

A young lady with forearm swelling and pain.

1The study reveals multiple round calcifications at thedistalleft forearm (phleboliths) suggestive of a vascular (venous) malformation
2There are 3 groups of serpiginous tubular T2/STIR hyperintense structures along the left distal radius, posterior to the distal interosseous membrane and posterior aspect of the radius.Multiple low intensity punctuate intralesional T1 and T2 foci (phleboliths).Peripheral lesional fat due to muscle atrophy secondary to chronic vascular insufficiency
3The distal brachial angiogram shows the minimal staining at the left distal radius which is supplied by small branches of interosseus artery without a nidus or early opacification of draining vein
4This suggests a venous malformation.Direct percutaneous contrast Injection under ultrasound guidance reveals two lesions (one is located between radius and ulna and the other is superposing on the left distal radius)
5Contrast was filled into the venous pouch and small draining vein
6The venous malformation type II is suggested.A percutaneous injection was performed into the lesions with 1:1.5 ratio of glue and lipiodol mixture.Post glue injection shows total occlusion of the venous malformation.No immediate complication is noted.