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Congenital Bilateral Internal Jugular Venous Malformation in an Infant with Spinal Osteomyelitis and Discitis - Nature's Recipe for Disaster at Vascular Access - Abstract

Ramnik Patel , David Horton , Graham Robinson , Raghuram Lakshminarayan , Rejoo D Daniel



We report an infant who presented with lumbar spinal osteomyelitis and discitis. Patient had a rare congenital right sided agenesis/atresia and left sided phlebectasia and stenosis of internal jugular veins making central vascular access a challenge. This was diagnosed by imaging and treated with angioplasty successfully allowing conservative management of her acute sepsis. Patient made complete recovery with excellent results.

Keywords: vascular malformation, internal jugular vein, agenesis/atresia, stenosis, phlebectasia, angioplasty, osteomyelitis, discitis, central venous access


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