Pelvic arteriovenous malformation (AVM) with recurrent hematuria: A case report.
Aneurysm
Angiography
Arteriovenous malformation
Embolotherapy
Pelvis
Surgery
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
16
07
2023
revised:
16
08
2023
accepted:
16
08
2023
medline:
27
8
2023
pubmed:
27
8
2023
entrez:
26
8
2023
Statut:
ppublish
Résumé
Arteriovenous malformation (AVM) leads to a direct connection between arterial and venous networks, in which capillary branches are not involved. Pelvic AVM is a benign and rare condition causing severe pain, hematuria, and rectal or vaginal bleeding. A 36-year-old woman presented with five months history of hematuria. Her medical history was unremarkable, and laboratory findings were all within normal ranges. Abdominopelvic computed tomography (CT) scan revealed a vascular mass in the left lateral pelvis that extended to the bladder neck and was suggestive of an AVM. The patient underwent a laparotomy for the resection of AVM. The first angiography revealed an AVM in the left internal iliac artery. The patient underwent embolization with coil and gel foam. The second angiography revealed complete obstruction of the left internal iliac artery due to multiple coils and AVM of the right internal iliac artery (RIIA), embolized with glue and lipiodol. A week later, venography revealed another left iliac vein malformation embolized with foam sclerotherapy. Forty days later, the third angiography revealed another AVM in the right iliac artery, embolized with three vials of polyvinyl alcohol (PVA). Following two months of follow-up, the symptoms did not return. The present study reported a rare case of recurrent pelvic AVM causing painless hematuria in a female patient. The lesion was treated with several angioembolization sessions. Angioembolization is one of the main therapeutic options for AVM. Appropriate material should be precisely chosen for AVM embolization regarding the AVM's location, size, and condition.
Identifiants
pubmed: 37633193
pii: S2210-2612(23)00830-1
doi: 10.1016/j.ijscr.2023.108701
pmc: PMC10509810
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
108701Informations de copyright
Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors have no conflict of interest to declare.
Références
Semin Intervent Radiol. 2018 Mar;35(1):62-68
pubmed: 29628618
Int J Mol Sci. 2021 Aug 21;22(16):
pubmed: 34445743
J Orthop Case Rep. 2022 Jun;12(6):47-52
pubmed: 37065518
Jpn J Radiol. 2020 May;38(5):434-439
pubmed: 32043235
Pol J Radiol. 2015 Aug 13;80:388-90
pubmed: 26634010
Semin Intervent Radiol. 2009 Dec;26(4):352-7
pubmed: 21326545
Interact Cardiovasc Thorac Surg. 2009 Feb;8(2):260-2
pubmed: 19038980
Presse Med. 2019 Apr;48(4):411-418
pubmed: 31060765
Ochsner J. 2015 Fall;15(3):268-71
pubmed: 26413002
Eur Urol. 2002 Oct;42(4):407-12
pubmed: 12361908
Semin Intervent Radiol. 2010 Mar;27(1):99-104
pubmed: 21359018
Skeletal Radiol. 2006 Mar;35(3):127-37
pubmed: 16447042
J Vasc Surg. 2012 Feb;55(2):465-71
pubmed: 22051867
Radiol Case Rep. 2020 Oct 12;15(12):2621-2626
pubmed: 33088375
Acta Radiol. 2010 Mar;51(2):144-9
pubmed: 20092371
Int J Urol. 2005 Apr;12(4):409-11
pubmed: 15948732
Eur J Obstet Gynecol Reprod Biol. 2013 Jul;169(2):172-6
pubmed: 23727224
Front Surg. 2023 Jan 09;9:907234
pubmed: 36700008
J Clin Ultrasound. 1983 Jun-Jul;11(5):295-8
pubmed: 6409944
Int J Surg. 2020 Dec;84:226-230
pubmed: 33181358
Can Urol Assoc J. 2012 Apr;6(2):E61-3
pubmed: 22511435