Venous malformations (VMs) were seen in different parts of the body of a 9-year-old boy who presented with bleeding per rectum. Photos showed VMs in the lower limb, buttocks, penis, and toes. VMs are the most common type of congenital vascular malformation, present at birth, and often symptomatic. The boy's bleeding could have been related to an internal VM of the bowel. VMs can be challenging to diagnose and are often confused with hemangioma in terminology and imaging.

1. ‫الرحيم‬ ‫الرحمن‬ ‫هللا‬ ‫بسم‬
Multiple Congenital Venous
Malformations in a Young Boy
Prof. Abdulsalam Y Taha
College of Medicine
University of Sulaimani
2022
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2. The Case
 A 9-years old boy was seen at Shorsh
General Hospital, Sulaymaniyah,
Iraq at 15th of July 2005 because of
bleeding per rectum. On exam,
multiple congenital venous
malformations (VMs) were seen in
different parts of his body as
revealed by the following pictures.
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3. 3

4. VM of the Lower Limb
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5. Hypertrophied Left Lower Limb with Diffuse
VM
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6. VM of the Buttocks and Left Lower Limb
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7. VM of the Penis
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8. VMs of the Buttocks
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9. VMs of the Toes
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10. Comments
 Venous malformation (VM) is the most
common type of congenital vascular
malformation (CVM). They are present at
birth and are often symptomatic, causing
morbidity and pain. VMs can be challenging
to diagnose and are often confused with
hemangioma in terminology as well as with
imaging [1].
 The bleeding per rectum complained of by
this boy could be related to an internal
(bowel) venous malformation.
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11. Bibliography
 Behravesh S, Yakes W, Gupta N, Naidu
S, Chong BW, Khademhosseini A, Oklu
R. Venous malformations: clinical
diagnosis and treatment. Cardiovasc
Diagn Ther. 2016 Dec;6(6):557-569.
doi: 10.21037/cdt.2016.11.10. PMID:
28123976; PMCID: PMC5220204.
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