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Thenar eminence arteriovenous malformation

Case contributed by Dr C. Igler


Progressive livid swelling of thenar and thumb within hours. No elevation of inflammatory markers. No trauma or prior surgery.

Patient Data

Age: 25
Gender: Female

Soft-tissue swelling in the thenar region.

Dilated vessels in the thenar region with flow-voids. Diffuse edema and swelling of the the thenar muscles.

Dilated vessels in the thenar region an the deep palmar arch due to arteriovenous shunting.

Case Discussion

Unilateral extremity swelling is a common emergency setting. The most common differential diagnoses include cellulitis, abscess, lymphedema, and venous thrombosis.

Due to an acute onset within hours, an inflammatory process was primarily suspected.

The key findings in the MRI were dilated vessels with extensive flow-voids. The CT shows extensive arteriovenous shunting.

Arteriovenous malformations (AVMs) can occur anywhere in the body but have a predilection towards the head and neck.  

All that is swollen and red is not an infection. 

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Case information

rID: 42474
Published: 17th Mar 2016
Last edited: 14th Aug 2019
System: Vascular
Inclusion in quiz mode: Included

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