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Case Reports: Unusual presentation of more common disease/injury
Vascular malformation of tongue with phlebothrombosis/phlebolith in a young patient: an unusual presentation
  1. Perla Davila-Villa1,
  2. Miguel Padilla-Rosas2,
  3. Gerardo Meza-García3 and
  4. Mario Nava-Villalba1
  1. 1Microbiology and Pathology, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
  2. 2Comprehensive Dental Clinics, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
  3. 3Escuela de Odontología, Universidad Regional del Sureste, Oaxaca, Mexico
  1. Correspondence to Dr Mario Nava-Villalba; mario.nava{at}academicos.udg.mx

Abstract

Venous malformations (VMs) are a type of vascular malformation formed by abnormally developed venous channels, with variations in size, pathway and thickness and are therefore a condition which can predispose to thrombosis. We present the case of a VM associated with phlebothrombosis/phlebolith, located on the lingual dorsum of a 20-year-old female patient. Clinical examination revealed a nodule of approximately 5 mm in diameter involving the anterior third of lingual dorsum, with a firm, compressible and non-pulsatile consistency. Histopathologically, the lesion revealed a VM with evidence of phlebothrombosis and phlebolith development. Although VMs manifest infrequently in this age group, they should be considered in the differential diagnosis of other lesions with similar characteristics in young people.

  • dentistry and oral medicine
  • congenital disorders
  • pathology

https://doi.org/10.1136/bcr-2021-245850

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    Footnotes

    • Twitter @CorazonMexicatl

    • Contributors MN-V was the clinician in the management and follow-up of the case, as well as in charge of the surgical procedure. PD-V and MN-V were responsible for collection and analysis of literature and contributed to the writing and editing of the manuscript. MP-R, GM-G and MN-V performed the histological examinations, contributed to the scientific discussions and critically reviewed the manuscript. All authors read and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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