Vaginal angiomatosis: differential diagnosis of a rare case

Grauso, Flavio; Balbi, Giancarlo; D’Aponte, Maria Luisa; Ronchi, Andrea; Russo, Roberto; Falcone, Francesca; Em, Messalli

doi:10.5152/jtgga.2015.15018

Cited by 5 publications

(8 citation statements)

References 5 publications

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“…Otras etiologías posibles son linfomas y leiomiosarcoma vaginales, leiomiomas o pólipos de uretra o vagina, tumores o malformaciones vasculares -hemangiopericitoma vascular congénito, angiomatosis, hemangiomas o linfangioma congénitos vaginales-, el paraganglioma y, finalmente, el hematocolpos. 9,11,12 En la RM, el TSV suele describirse como una masa sólida redondeada, heterogénea con áreas necróticas, limitada a la vagina, mientras que el rabdomiosarcoma muestra una formación irregular, sólido-quística cual racimo de uvas, que suele comprometer la vejiga y/o la vulva. 13 El marcador tumoral característico es la AFP, elevado en el 25-75 % de los casos.…”

Section: Discussionunclassified

Tumor del saco vitelino primario de vagina en una niña. A propósito de un caso

et al. 2021

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Section: Discussionunclassified

Tumor del saco vitelino primario de vagina en una niña. A propósito de un caso

et al. 2021

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“…Angiomatosis must also be distinguished histopathologically from other vascular tumours, such as capillary haemangioma, cavernous venous haemangioma, arteriovenous malformation (AVM), papillary endothelial hyperplasia (PEH) and bacillary angiomatosis 4. Histopathologically, haemangiomas are neoplastic lesions demonstrating endothelial hyperplasia 3.…”

Section: Discussionmentioning

confidence: 99%

“…Histopathologically, haemangiomas are neoplastic lesions demonstrating endothelial hyperplasia 3. AVMs are characterised by the presence of malformed arteries and veins with dilated lumens involving submucosa but not musclaris propria 4. PEH is a focal lesion and does not involve arteries 4.…”

Section: Discussionmentioning

confidence: 99%

“…AVMs are characterised by the presence of malformed arteries and veins with dilated lumens involving submucosa but not musclaris propria 4. PEH is a focal lesion and does not involve arteries 4. Bacillary angiomatosis is a form of angiomatosis associated with bacteria of the Bartonella genus, rarely occurring in the immunocompetent population, and characterised histopathologically by lobular vascular proliferations lined with endothelial cells.…”

Section: Discussionmentioning

confidence: 99%

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Angiomatosis of the uterus, cervix and fallopian tubes: a rare and benign cause of intractable, heavy menstrual bleeding

Pontré¹,

Ojedo

McElhinney

2017

BMJ Case Reports

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Angiomatosis of the uterus, cervix and fallopian tubes is a rare and benign entity that has not been reported in the literature previously. We present a case of a 27-year-old patient with severe and intractable heavy menstrual bleeding unresponsive to all conservative and conventional forms of treatment. Following a laparoscopic hysterectomy, the histopathological finding of angiomatosis, a vascular abnormality in the uterus, cervix and fallopian tubes, provided a plausible explanation in this situation.

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“…Most cases are congenital and are observed in childhood [ 1 ], but some are acquired due to trauma or infection, and the mechanism of their formation is unknown [ 3 ]. It is difficult to distinguish these lesions from varicose veins or vascular malformations macroscopically; therefore, they are diagnosed histologically [ 4 ]. The pathological findings of hemangiomas include polypoid lesions of dilated blood vessels with increased vascular endothelial cells in the dermis and deep subcutaneous tissues [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

A Case of a Refractory Bleeding Giant Vaginal Wall Cavernous Hemangioma Successfully Managed with Sclerotherapy

et al. 2023

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Objective:Rare disease Background:Vaginal wall hemangiomas are extremely rare, benign, vascular tumors of the female genitalia. Most cases occur in childhood, but a few cases can be acquired; however, the mechanism of hemangioma formation remains unknown. Most hemangiomas involving female genital organs are small and asymptomatic. However, huge hemangiomas can cause irregular genital bleeding, infertility, and miscarriage. Surgical excision and embolization are the most common treatment options. We reveal that sclerotherapy achieved good outcomes in a patient with an intractable huge vaginal wall hemangioma. Case Report:A 71-year-old woman visited a local doctor with concerns of frequent urination. A ring pessary was inserted after a diagnosis of pelvic organ prolapse. However, symptoms did not improve, and the patient consulted another hospital. The previous physician diagnosed vaginal wall tumors and prolapse and performed a colporrhaphy. However, she was referred to our hospital with heavy intraoperative bleeding. Imaging examination revealed a huge hemangioma on the vaginal wall, which was histologically diagnosed as a cavernous hemangioma. Angiography revealed hemorrhage in the right peripheral vaginal artery. Owing to concerns regarding extensive vaginal wall necrosis caused by arterial embolization, sclerotherapy using monoethanolamine oleate was selected. Hemostasis was achieved 1 month after sclerotherapy, and postoperative imaging showed the lesion had shrunk in size. No recurrence of hemangioma was observed 19 months after surgery. Conclusions:We report a case of a large vaginal wall intractable bleeding hemangioma. Sclerotherapy can be a suitable treatment option for large vaginal hemangiomas that are too extensive to be treated using surgery or arterial embolization.

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Vaginal angiomatosis: differential diagnosis of a rare case

Cited by 5 publications

References 5 publications

Tumor del saco vitelino primario de vagina en una niña. A propósito de un caso

Tumor del saco vitelino primario de vagina en una niña. A propósito de un caso

Angiomatosis of the uterus, cervix and fallopian tubes: a rare and benign cause of intractable, heavy menstrual bleeding

A Case of a Refractory Bleeding Giant Vaginal Wall Cavernous Hemangioma Successfully Managed with Sclerotherapy

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