Advanced Ultrasound in Diagnosis and Therapy ›› 2023, Vol. 7 ›› Issue (3): 288-292.doi: 10.37015/AUDT.2023.220024

• Case Reports • Previous Articles     Next Articles

Contrast-Enhanced Ultrasound in the Detection and Evaluation of Maxillofacial Arteriovenous Malformation: A Case Report

Chang Liu, MDa, Weiwei Shen, MDa, Peng Fu, MDa, Youchen Xia, MDb, Jianxun Ma, MDb, Ligang Cui, MDa, Shi Tan, MDa,*()   

  1. a Department of Ultrasound, Peking University Third Hospital, Beijing, China
    b Department of Plastic Surgery, Peking University Third Hospital, Beijing, China
  • Received:2022-06-28 Revised:2023-08-20 Accepted:2022-09-21 Online:2023-09-30 Published:2023-10-09
  • Contact: Shi Tan, MD, E-mail:tenshi@126.com

Abstract:

Arteriovenous malformation (AVM) is a kind of congenital endothelial malformation that results from errors in vascular morphogenesis. Here we present a case of maxillofacial AVM in a 19-year-old male for its imaging characteristics on contrast-enhanced ultrasound (CEUS). On conventional ultrasound, the lesion was a large subcutaneous mass with abnormal vasculature. On CEUS, it manifested as a “quick wash-in and slow wash-out” enhancement. Moreover, CEUS showed a much larger range of the lesion than gray-scale imaging, with left ophthalmic artery involved. CEUS enabled real-time observation of the microcirculatory perfusion of the lesion and played a very important role in the detection and evaluation of maxillofacial AVM.

Key words: Arteriovenous malformation; Contrast-enhanced; Ultrasound