A case report: Pulmonary venous malformation complicated with pulmonary hemorrhage


      Pulmonary venous malformation is extremely rare. We present imaging and clinical findings of a 17-year-old male with multifocal subcutaneous venous malformations and multiple cystic lesions in the liver and spleen, suggestive of slow flow vascular malformation. In the right lung, chest radiography followed by chest CT demonstrated large tortuous pulmonary veins and cystic emphysematous changes. Tc99m-MAA (pertechnetate-labeled macroaggregated albumin) lung perfusion scan demonstrated only 3% of normal perfusion to the right lung, with no evidence of arteriovenous shunting. The child had diffuse intraparenchymal hemorrhage throughout the right lower and middle lobes and underwent resection. Pathology confirmed the diagnosis of venous malformation complicated with bleeding.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Pediatric Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


      1. Enjolras O., Wassef M. and Chapot R. Color atlas of vascular tumors and vascular malformations. Cambridge University Press.

        • Lee J.Y.
        • Kim J.H.
        • Yoo S.Y.
        • et al.
        Pulmonary venous malformation in a 4-year-old boy: a case report.
        Korean J Radiol. 2009; 10: 420-423
        • Abernethy L.J.
        Classification and imaging of vascular malformations in children.
        Eur Radiol. 2003; 13: 2483-2497
        • Puig S.
        • Casati B.
        • Staudenherzc A.
        • et al.
        Vascular low-flow malformations in children: current concepts for classification, diagnosis and therapy.
        Eur J Radiol. 2005; 53: 35-45
        • Lim G.Y.
        • Kim O.H.
        • Kim H.W.
        • et al.
        Pulmonary manifestations in Proteus syndrome: pulmonary varicosities and bullous lung disease.
        Am J Med Genet A. 2011; 155: 865-869
        • Gossage J.R.
        • Kanj G
        Pulmonary arteriovenous malformations a state of the art review..
        Am J Respir Crit Care Med. 1998; 158: 643-661
        • Legehn G.M.
        • Heran M.K.
        Venous malformation: classification, development, diagnosis and interventional radiologic management.
        Radiol Clin North Am. 2008; 46: 545-597