Pregnancy after transcatheter embolization of a uterine arteriovenous malformation

Poppe, Willy; Assche, F.A. Van; Wilms, Guy; Favril, Alexander; Baert, Albert

doi:10.1016/0002-9378(87)90136-0

Cited by 101 publications

(67 citation statements)

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“…A quick growth of the lesion, during pregnancy, may generate premature rupture of membranes, premature Labor, fetal death in-utero, postpartum haemorrhage and disseminated intravascular coagulation [20]. These complications require delivery by Caesarean [13][14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

“…The surgical excision has always been essential to eliminate a subjacent malignant tumor, including malignant vascular lesions [10]. In gynecological practice, the embolization treatment for arteriovenous malformations was crowned with success in patients presenting serious menorrhagia with relief of symptoms and preservation of their capacity of reproduction [14]. However, the cervical haemangioma can be treated, if necessary, by hysterectomy [15,18,20].…”

Section: Discussionmentioning

confidence: 99%

“…The obstetrical complications are the premature rupture of membranes, the fetal death in the uterus, the postpartum haemorrhage and disseminated intravascular coagulation [3][4][5][11][12][13]. The dilemma that may arise is the delivery way in a pregnant mother having a cervical cavernous haemangioma [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. In this report, we describe a haemangioma of the uterine cervix in a 25-year old multiparous patient, who presented premature labor with membranes rupture in the 33 -34 gestational weeks.…”

Section: Introductionmentioning

confidence: 99%

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Cavernous hemangioma of the cervix and pregnancy: a case report

Elkhateb¹,

Idrissi²,

Laabadi³

et al. 2011

OJOG

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Purpose: Cavernous haemangiomas of the uterine cervix are very rare and usually harmless. It is a benign tumor that may cause gynecological obstetrical complications. Although it is a benign condition but it can have serious consequences for the mother as well as for the baby. The treatment is often surgical and diagnosis is histological. Methods and Result: we reported a case of cavernous haemangioma of the cervix in a 25-year old multiparous patient, referred to our Centre in the 33 -34 gestational weeks for premature labor with membranes rupture. A 3 cm × 6 cm soft regular purplish red mass is found in the uterine cervix. Tocolosys, prophylactic antibiotic therapy and corticotherapy for fetus pulmonary maturation were then decided after elimination of chorioamniotite signs. Caesarean has been made during labor, a week later, for tumor previa. The tumor excision has been made through the vagina after fetus extraction. The histological examination confirmed diagnosis of the cavernous haemangioma. Discussion: Further to this observation, the clinical, histological and therapeutic characteristics of the cavernous haemangioma unusual presentation were drawn up and literature enriched since this pathology is rare. Most previous reports in the literature consist of single-case histories, and the experience of individual institutions is limited. The patients dramatically present dilemmas in the disease management. This can result in uncontrolled bleeding especially during operative delivery and may require hysterectomy. To avoid unexpected bleeding from haemangioma, patients should be repeatedly examined for haemangioma of the birth canal, and special care should be taken in choosing the delivery mode.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cavernous hemangioma of the cervix and pregnancy: a case report

Elkhateb¹,

Idrissi²,

Laabadi³

et al. 2011

OJOG

View full text Add to dashboard Cite

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“…Hysterectomy has traditionally been the treatment of choice, but transcatheter embolization, first reported by Forssman et al, in 1982 and described in a number of single case reports since then, appears to allow successful treatment while sparing uterine childbearing capacity [9]. Other authors report successful pregnancies after uterine arteriovenous malformations embolizations [10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Case Report: Post Traumatic Uterine Arteriovenous Fistula Embolization

Neto¹

2018

SCTI

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“…Several uncomplicated pregnancies following angiographic treatment of pelvic arteriovenous malformations have been reported 8,9 , but in these women either the internal iliac artery or the external artery was involved. Jorion et al 10 described a malformation, presenting as a pulsatile mass in the buttock, which was supplied exclusively from the superior gluteal artery and was removed almost bloodlessly after ligation of its pedicle.…”

Section: Discussionmentioning

confidence: 99%

A major congenital vascular malformation of the pelvis in pregnancy

Katsimanis¹

2002

BJOG: An International Journal of Obstetrics and Gynaecology

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A 29 year old nulliparous woman was seen for prepregnancy counselling with a congenital pelvic arteriovenous malformation. The diagnosis had been established following a life-threatening haemorrhage during excision of a lesion of the left labium majus, seven years previously. The woman had no symptoms. She was taking the combined oral contraceptive pill. Her history included a pelvic fracture 11 years previously which had resulted in a deformity of her bony pelvis. The arteriovenous malformation was palpable on pelvic examination as a pulsatile mass over the left vaginal vault, with varicosities visible from the left gluteal region to the groin and the inner aspect of the upper left thigh.Computed tomography had shown that at the level of the obturator foramen on the left there was a large varicosity occupying the left ischiorectal fossa and extending down to join a mass of tortuous vessels ( Fig. 1) which surrounded and partly eroded the left inferior pubic ramus. It also involved the adductor muscles of the left thigh. Femoral angiography showed that the left common and external iliac arteries were at least twice the diameter of those on the right, indicating significant arteriovenous shunting. In addition, shunting to numerous dilated veins was seen ( Fig. 2). The extensive malformation was supplied by branches of the anterior division of the internal iliac artery, notably the internal pudendal and inferior gluteal, and it was also supplied by the medial and lateral circumflex branches of the profunda femoris artery.The extensive nature of this vascular malformation, together with its osseous involvement (and the fact that previous attempted excision had been associated with massive haemorrhage), precluded further surgery. In view of the known risk of enlargement of these lesions during pregnancy and the potential risk of rupture, the woman was referred to a vascular malformations clinic.It was felt that the angiographic anatomy of the malformation made long term reduction in the degree of arteriovenous shunting by embolisation feasible and that this, together with the lack of involvement of the pelvic viscera, would reduce the risks associated with pregnancy. Embolisation was therefore performed. Several large arteriovenous communications arising from the inferior gluteal, internal pudendal and femoral arteries were selectively catheterised and embolised with N-butyl-2-cyanacrylate with an excellent angiographic result, showing almost complete obliteration of the arteriovenous shunting ( Fig. 3). Following embolisation the vascular malformation on the woman's left buttock decreased both in size and colour, although the varicosities on the medial aspect of her left thigh were unaffected.She then had three successful and uncomplicated pregnancies. All the infants were delivered by elective caesarean section in view of the risk of trauma to the malformation from labour and vaginal delivery. Vascular surgeons were in attendance at the first caesarean section but the malformation was not visualised and no trauma ...

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Pregnancy after transcatheter embolization of a uterine arteriovenous malformation

Cited by 101 publications

References 1 publication

Cavernous hemangioma of the cervix and pregnancy: a case report

Cavernous hemangioma of the cervix and pregnancy: a case report

Case Report: Post Traumatic Uterine Arteriovenous Fistula Embolization

A major congenital vascular malformation of the pelvis in pregnancy

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