PHLEBOLITHS ASSOCIATED WITH VASCULAR MALFORMATION IN THE JUGAL MUCOSA

Stagnation of blood flow and thrombosis in vascular malformation (VM) have been known to cause phlebolith formation. The symptoms of VM with phleboliths are pain, stasis, swelling, and foreign body sensation. A 48-year-old white woman was referred to an oral diagnostic service presenting with swelling and pain in the face close to the right parotid gland. Clinical examination showed the presence of multiple nodules with poorly defined limits, with a mobile and rigid consistency in the region of the right buccal mucosa. Panoramic radiography demonstrate multiple lesions which were well delimited and of different sizes; further, they were radiopaque with a radiolucent halo area extending from the coronoid process area to the mandibular base. An x-ray with periapical film of the buccal mucosa on the right side was performed and the image was similar to panoramic view. Ultrasonography examination was requested and revealed a low-flow vascular abnormality in the region. The patient was referred to the vascular surgeon. Support: FAPEMIG.