Antepartum diagnosis of pelvic arteriovenous malformation

Kirk D. Ramin, Susan M. Ramin, Linda S. Webb, Lee R. Radford, Luke E. Sewall

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: An arteriovenous fistula in the female pelvis is a rare finding. We report a pelvic arteriovenous fistula diagnosed antepartum. Case: At 38 weeks' gestation, a 32-year-old woman, gravida 3, para 1, was found on bimanual examination to have a pulsating mass on the left vaginal sidewall. Magnetic resonance imaging revealed a tangle of arteries feeding into an aneurysmal dilation of a branch vein of the left internal lilac, extending to the left lateral wall of the cervix and vagina, and ending in a large varix in the lateral wall of the vagina. The patient was asymptomatic and underwent primary cesarean delivery of a healthy female infant. Twice during her postpartum course, she underwent angiography and embolization of extensive left- and right-sided feeding vessels. Five to 6 weeks after each embolization, the vaginal mass recurred. Conclusion: A pelvic arteriovenous malformation diagnosed antepartum presents a dilemma in regards to risk of hemorrhage, congestive heart failure, and successful ablation.

Original languageEnglish (US)
Pages (from-to)647-650
Number of pages4
JournalObstetrics and Gynecology
Volume88
Issue number4 II SUPPL.
DOIs
StatePublished - Oct 1996

Fingerprint

Arteriovenous Malformations
Arteriovenous Fistula
Vagina
Varicose Veins
Pelvis
Cervix Uteri
Postpartum Period
Dilatation
Veins
Angiography
Heart Failure
Arteries
Magnetic Resonance Imaging
Hemorrhage
Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Ramin, K. D., Ramin, S. M., Webb, L. S., Radford, L. R., & Sewall, L. E. (1996). Antepartum diagnosis of pelvic arteriovenous malformation. Obstetrics and Gynecology, 88(4 II SUPPL.), 647-650. https://doi.org/10.1016/0029-7844(96)00290-6

Antepartum diagnosis of pelvic arteriovenous malformation. / Ramin, Kirk D.; Ramin, Susan M.; Webb, Linda S.; Radford, Lee R.; Sewall, Luke E.

In: Obstetrics and Gynecology, Vol. 88, No. 4 II SUPPL., 10.1996, p. 647-650.

Research output: Contribution to journalArticle

Ramin, KD, Ramin, SM, Webb, LS, Radford, LR & Sewall, LE 1996, 'Antepartum diagnosis of pelvic arteriovenous malformation', Obstetrics and Gynecology, vol. 88, no. 4 II SUPPL., pp. 647-650. https://doi.org/10.1016/0029-7844(96)00290-6
Ramin, Kirk D. ; Ramin, Susan M. ; Webb, Linda S. ; Radford, Lee R. ; Sewall, Luke E. / Antepartum diagnosis of pelvic arteriovenous malformation. In: Obstetrics and Gynecology. 1996 ; Vol. 88, No. 4 II SUPPL. pp. 647-650.
@article{238cd4d9c2ff42259c607d217a182b84,
title = "Antepartum diagnosis of pelvic arteriovenous malformation",
abstract = "Background: An arteriovenous fistula in the female pelvis is a rare finding. We report a pelvic arteriovenous fistula diagnosed antepartum. Case: At 38 weeks' gestation, a 32-year-old woman, gravida 3, para 1, was found on bimanual examination to have a pulsating mass on the left vaginal sidewall. Magnetic resonance imaging revealed a tangle of arteries feeding into an aneurysmal dilation of a branch vein of the left internal lilac, extending to the left lateral wall of the cervix and vagina, and ending in a large varix in the lateral wall of the vagina. The patient was asymptomatic and underwent primary cesarean delivery of a healthy female infant. Twice during her postpartum course, she underwent angiography and embolization of extensive left- and right-sided feeding vessels. Five to 6 weeks after each embolization, the vaginal mass recurred. Conclusion: A pelvic arteriovenous malformation diagnosed antepartum presents a dilemma in regards to risk of hemorrhage, congestive heart failure, and successful ablation.",
author = "Ramin, {Kirk D.} and Ramin, {Susan M.} and Webb, {Linda S.} and Radford, {Lee R.} and Sewall, {Luke E.}",
year = "1996",
month = "10",
doi = "10.1016/0029-7844(96)00290-6",
language = "English (US)",
volume = "88",
pages = "647--650",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "4 II SUPPL.",

}

TY - JOUR

T1 - Antepartum diagnosis of pelvic arteriovenous malformation

AU - Ramin, Kirk D.

AU - Ramin, Susan M.

AU - Webb, Linda S.

AU - Radford, Lee R.

AU - Sewall, Luke E.

PY - 1996/10

Y1 - 1996/10

N2 - Background: An arteriovenous fistula in the female pelvis is a rare finding. We report a pelvic arteriovenous fistula diagnosed antepartum. Case: At 38 weeks' gestation, a 32-year-old woman, gravida 3, para 1, was found on bimanual examination to have a pulsating mass on the left vaginal sidewall. Magnetic resonance imaging revealed a tangle of arteries feeding into an aneurysmal dilation of a branch vein of the left internal lilac, extending to the left lateral wall of the cervix and vagina, and ending in a large varix in the lateral wall of the vagina. The patient was asymptomatic and underwent primary cesarean delivery of a healthy female infant. Twice during her postpartum course, she underwent angiography and embolization of extensive left- and right-sided feeding vessels. Five to 6 weeks after each embolization, the vaginal mass recurred. Conclusion: A pelvic arteriovenous malformation diagnosed antepartum presents a dilemma in regards to risk of hemorrhage, congestive heart failure, and successful ablation.

AB - Background: An arteriovenous fistula in the female pelvis is a rare finding. We report a pelvic arteriovenous fistula diagnosed antepartum. Case: At 38 weeks' gestation, a 32-year-old woman, gravida 3, para 1, was found on bimanual examination to have a pulsating mass on the left vaginal sidewall. Magnetic resonance imaging revealed a tangle of arteries feeding into an aneurysmal dilation of a branch vein of the left internal lilac, extending to the left lateral wall of the cervix and vagina, and ending in a large varix in the lateral wall of the vagina. The patient was asymptomatic and underwent primary cesarean delivery of a healthy female infant. Twice during her postpartum course, she underwent angiography and embolization of extensive left- and right-sided feeding vessels. Five to 6 weeks after each embolization, the vaginal mass recurred. Conclusion: A pelvic arteriovenous malformation diagnosed antepartum presents a dilemma in regards to risk of hemorrhage, congestive heart failure, and successful ablation.

UR - http://www.scopus.com/inward/record.url?scp=0029775907&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029775907&partnerID=8YFLogxK

U2 - 10.1016/0029-7844(96)00290-6

DO - 10.1016/0029-7844(96)00290-6

M3 - Article

C2 - 8841238

AN - SCOPUS:0029775907

VL - 88

SP - 647

EP - 650

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 4 II SUPPL.

ER -