Arteriovenous malformation of the female pelvis. Clinical case
https://doi.org/10.20340/vmi-rvz.2024.5.MIM.1
Abstract
Vascular malformations are quite rare but can occur anywhere in the human body, and when affecting the female pelvis, they present a unique pattern. A thorough medical history and necessary diagnostic methods enable the correct diagnosis and the initiation of optimal treatment. Arteriovenous malformations usually require embolization. The choice between surgical intervention or medical treatment is determined within a multidisciplinary approach to patient care. A clinical case of arteriovenous malformation of the pelvis in a 32-year-old female patient is presented, including her medical history and the results of a computed tomography scan of the abdominal organs with contrast enhancement. Additionally, an overview of vascular malformations of the female pelvis, their clinical course, diagnostic studies, and treatment options is provided.
About the Authors
E. A. Sidorov
Samara State Medical University
Russian Federation
Russian Federation
Egor A. Sidorov, Ray doctor
89 Chapaevskaya str., Samara, 443099
D. V. Solovov
Samara State Medical University
Russian Federation
Russian Federation
Dmitriy V. Solovov, Head of the X-ray Department, Assistant Professor
89 Chapaevskaya str., Samara, 443099
E. A. Sartakova
Samara State Medical University
Russian Federation
Russian Federation
Elizaveta A. Sartakova, Ray doctor
89 Chapaevskaya str., Samara, 443099
References
1. Christenson BM, Gipson MG, Smith MT. Pelvic vascular malformations. Semin Intervent Radiol. 2013 Dec;30(4):364-71. https://doi.org/10.1055/s-0033-1359730 PMID: 24436563; PMCID: PMC3835586.
2. ISSVA Classification of Vascular Anomalies. International Society for the Study of Vascular Anomalies. 2018. Available at: issva.org/classification. Accessed January 28, 2020.
3. Agrawal S, Dave A, Shukla S. Postabortal Bleeding: A Diagnostic Dilemma Resolved As Arteriovenous Malformation and Successfully Managed With Uterine Artery Embolization. Cureus. 2023 Nov 29;15(11):e49666. https://doi.org/10.7759/cureus.49666 PMID: 38161858; PMCID: PMC10756586.
4. Annam A. Female Pelvic Vascular Malformations. Semin Intervent Radiol. 2018 Mar;35(1):62-68. https://doi.org/10.1055/s-0038-1636524 Epub 2018 Apr 5. PMID: 29628618; PMCID: PMC5886763.
5. White CL, Olivieri B, Restrepo R, McKeon B, Karakas SP, Lee EY. Low-Flow Vascular Malformation Pitfalls: From Clinical Examination to Practical Imaging Evaluation--Part 1, Lymphatic Malformation Mimickers. AJR Am J Roentgenol. 2016 May;206(5):940-51. https://doi.org/10.2214/AJR.15.15793 Epub 2016 Mar 21. PMID: 26999565.
6. Nakashololo T, Khan N, Dunn Z, Snyman L, Mh Ismail S. Uterine arteriovenous malformations, clinical and radiological considerations: A report of two cases. Radiol Case Rep. 2021 May 6;16(7):1924-1929. https://doi.org/10.1016/j.radcr.2021.02.018 PMID: 34149976; PMCID: PMC8189875.
7. Oride A, Kanasaki H, Miyazaki K. Disappearance of a uterine arteriovenous malformation following long-term administration of oral norgestrel/ethinyl estradiol. J Obstet Gynaecol Res. 2014 Jun;40(6):1807-10. https://doi.org/10.1111/jog.12370 PMID: 24888954.
8. Müller-Wille R, Wildgruber M, Sadick M, Wohlgemuth WA. Vascular Anomalies (Part II): Interventional Therapy of Peripheral Vascular Malformations. Rofo. 2018 Feb 7. https://doi.org/10.1055/s-0044-101266 Epub ahead of print. PMID: 29415296.
9. Adams DM, Trenor CC 3rd, Hammill AM, et al. Efficacy and Safety of Sirolimus in the Treatment of Complicated Vascular Anomalies. Pediatrics. 2016 Feb;137(2):e20153257. https://doi.org/10.1542/peds.2015-3257 Epub 2016 Jan 18. PMID: 26783326; PMCID: PMC4732362.
10. Falahati V, Fallahi M, Shahriarpour M, Ghasemi A, Ghaffari K. A Rare Case of Klippel Trenaunay Syndrome with Von Willebrand Factor Deficiency and Multiple Accessory Spleens: A Case Report and Brief Literature Review. Adv Biomed Res. 2024 Feb 26;13:20. https://doi.org/10.4103/abr.abr_232_23 PMID: 38525403; PMCID: PMC10958732.
11. Oduber CE, Young-Afat DA, van der Wal AC, van Steensel MA, Hennekam RC, van der Horst CM. The persistent embryonic vein in KlippelTrenaunay syndrome. Vasc Med. 2013 Aug;18(4):185-91. https://doi.org/10.1177/1358863X13498463 PMID: 23966121.
12. Ochoco GETD, Enriquez CAG, Urgel RJL, Catibog JS. Multimodality imaging approach in a patient with Klippel-Trenaunay syndrome. BMJ Case Rep. 2019 Aug 20;12(8):e228257. https://doi.org/10.1136/bcr-2018-228257 PMID: 31434664; PMCID: PMC6706670.
13. Banzic I, Brankovic M, Maksimović Ž, Davidović L, Marković M, Rančić Z. Parkes Weber syndrome-Diagnostic and management paradigms: A systematic review. Phlebology. 2017 Jul;32(6):371-383. https://doi.org/10.1177/0268355516664212 Epub 2016 Aug 9. PMID: 27511883.
14. Lu TF, Shih YH, Lu CH, Sun L. A new fertility-preserving treatment modality for life-threatening bleeding caused by acquired uterine arteriovenous malformation (AVM): Combination laparoscopic ligation of uterine arteries and AVM suture. Taiwan J Obstet Gynecol. 2022 Jul;61(4):703-707. https://doi.org/10.1016/j.tjog.2021.06.001 PMID: 35779926.
15. Hammer J, Seront E, Duez S, et al. Sirolimus is efficacious in treatment for extensive and/or complex slow-flow vascular malformations: a monocentric prospective phase II study. Orphanet J Rare Dis. 2018 Oct 29;13(1):191. https://doi.org/10.1186/s13023-018-0934-z PMID: 30373605; PMCID: PMC6206885.
Supplementary files
Review
For citations:
Sidorov E.A., Solovov D.V., Sartakova E.A. Arteriovenous malformation of the female pelvis. Clinical case. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2024;14(5):108-113. (In Russ.) https://doi.org/10.20340/vmi-rvz.2024.5.MIM.1
Views:
203
Email this article 