Arteriovenous Fistula Embolization in Suspected Parauterine Choriocarcinoma
Joint Authors
Alturkistani, Husain
Almarzooqi, Mohamed-Karji
Oliva, Vincent
Gilbert, Patrick
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-06-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
This is a case of choriocarcinoma that did not regress after chemotherapy treatment.
A 30-year-old female patient (gravida 2, para 2), presented to our ER with stroke and persistent mild pelvic pain 2 months after a Caesarean section.
Computed tomography (CT) revealed an ischemic left hemicerebellar region and a hypervascular mass in the pelvic region.
This mass was not present on routine fetal ultrasound during pregnancy.
The lesion was treated by chemotherapy after closure of a foramen ovale and insertion of an inferior vena cava (IVC) filter.
After that, 2 courses of EMACO (Etoposide, Methotrexate, Actinomycin D, Cyclophosphamide, and Vincristine) chemotherapy regimen were given.
Posttreatment CT showed the hypervascular mass without any changes.
Arteriography showed the arteriovenous fistulae that were embolized successfully with plugs, coils, and glue.
Embolization was considered due to the risk of acute hemorrhagic life-threatening complications.
Eight chemotherapy courses were added after embolization.
Treatment by endovascular approach and reduction of the hypervascular mass can be a valuable adjunct to chemotherapy treatment of choriocarcinoma.
American Psychological Association (APA)
Alturkistani, Husain& Almarzooqi, Mohamed-Karji& Oliva, Vincent& Gilbert, Patrick. 2016. Arteriovenous Fistula Embolization in Suspected Parauterine Choriocarcinoma. Case Reports in Obstetrics and Gynecology،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101555
Modern Language Association (MLA)
Alturkistani, Husain…[et al.]. Arteriovenous Fistula Embolization in Suspected Parauterine Choriocarcinoma. Case Reports in Obstetrics and Gynecology No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1101555
American Medical Association (AMA)
Alturkistani, Husain& Almarzooqi, Mohamed-Karji& Oliva, Vincent& Gilbert, Patrick. Arteriovenous Fistula Embolization in Suspected Parauterine Choriocarcinoma. Case Reports in Obstetrics and Gynecology. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101555
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101555