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CASE REPORT
A case of pulsatile scalp swelling in a child
  1. Daisy Khera1,
  2. Pushpinder Singh Khera2,
  3. Arvind Sinha3,
  4. Neeraj Mehta2
  1. 1 Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  2. 2 Department of Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  3. 3 Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  1. Correspondence to Dr Daisy Khera, pushpinderdaisy{at}gmail.com

Summary

Arteriovenous fistulas (AVF) are an entity most commonly seen in the head and neck region. An AVF is a direct connection between the arterial feeders and the draining veins without intervening capillary beds (unlike an arteriovenous malformation in which a nidus intervenes between the arteries and veins). We describe a case of traumatic AVF in a child aged 9 years, who presented with a pulsatile scalp swelling following blunt trauma to the head. It turned out to be an AVF between the superficial temporal artery and vein. Correct diagnosis of an AVF involves Doppler examination with digital subtraction angiography providing a good roadmap for treatment, which can be either endovascular or surgical.

  • Head and neck surgery
  • Radiology (diagnostics)
  • Trauma CNS /PNS

https://doi.org/10.1136/bcr-2016-218214

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    Footnotes

    • Contributors DK has contributed to the conception and design of the manuscript, drafting the article and revising it critically for important intellectual content and final approval of the version to be published and has agreed to be accountable for the article.

      PSK has contributed to the conception and design of the manuscript, drafting the article and revising it critically for important intellectual content and final approval of the version to be published and has agreed to be accountable for the article.

      AS has contributed to the drafting of the article and revising it critically for important intellectual content and final approval of the version to be published and has agreed to be accountable for the article.

      NM has contributed to the drafting of the article and revising it critically for important intellectual content and final approval of the version to be published and has agreed to be accountable for the article.

    • Competing interests None declared.

    • Patient consent Consent obtained from guardian.

    • Provenance and peer review Not commissioned; externally peer reviewed.