Abeysekera WYM, Beneragama TS and Athiththan SP
Vascular malformations (VM) of the hand and forearm are rare lesions which need accurate diagnosis and optimal management. Many confusing classifications were developed to define these vascular malformations. Presence of a median artery in the forearm of an adult is a rare occurrence. In this we report a predominantly venous malformation of the distal forearm associated with the Palmar type Median artery which is an extremely rare situation and to the best of our knowledge this is the first report of such association.