Display options
Cite
Alturkistani H, Almarzooqi MK, Oliva V, et al. Arteriovenous Fistula Embolization in Suspected Parauterine Choriocarcinoma. Case Rep Obstet Gynecol. 2016;2016:6353471doi: 10.1155/2016/6353471.
Alturkistani, H., Almarzooqi, M. K., Oliva, V., & Gilbert, P. (2016). Arteriovenous Fistula Embolization in Suspected Parauterine Choriocarcinoma. Case reports in obstetrics and gynecology, 20166353471. https://doi.org/10.1155/2016/6353471
Alturkistani, Husain, et al. "Arteriovenous Fistula Embolization in Suspected Parauterine Choriocarcinoma." Case reports in obstetrics and gynecology vol. 2016 (2016): 6353471. doi: https://doi.org/10.1155/2016/6353471
Alturkistani H, Almarzooqi MK, Oliva V, Gilbert P. Arteriovenous Fistula Embolization in Suspected Parauterine Choriocarcinoma. Case Rep Obstet Gynecol. 2016;2016:6353471. doi: 10.1155/2016/6353471. Epub 2016 Jun 14. PMID: 27403360; PMCID: PMC4923520.
Copy Download .nbib Format: NLM
Share it on

Case Rep Obstet Gynecol. 2016;2016:6353471. doi: 10.1155/2016/6353471. Epub 2016 Jun 14.

Arteriovenous Fistula Embolization in Suspected Parauterine Choriocarcinoma.

Case reports in obstetrics and gynecology

Husain Alturkistani, Mohamed-Karji Almarzooqi, Vincent Oliva, Patrick Gilbert

Affiliations

  1. Division of Interventional Radiology, Department of Radiology, Notre-Dame Hospital, University of Montreal Hospital Centers (CHUM), 1560 Sherbrooke East, Montreal, QC, Canada H2L 4M1; Radiology Department, King Khalid University Hospital, King Saud University, Riyadh 12372, Saudi Arabia.
  2. Division of Interventional Radiology, Department of Radiology, Notre-Dame Hospital, University of Montreal Hospital Centers (CHUM), 1560 Sherbrooke East, Montreal, QC, Canada H2L 4M1.

PMID: 27403360 PMCID: PMC4923520 DOI: 10.1155/2016/6353471

Abstract

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.

References

  1. J Med Assoc Thai. 2009 Jan;92 (1):120-3 - PubMed
  2. Gynecol Oncol. 2005 Sep;98(3):506-9 - PubMed
  3. Gynecol Oncol. 1998 Nov;71(2):325-9 - PubMed
  4. Am J Obstet Gynecol. 1985 Sep 15;153(2):155-7 - PubMed
  5. Acta Obstet Gynecol Scand. 2013 Aug;92 (8):989-90 - PubMed
  6. Am J Obstet Gynecol. 2010 Dec;203(6):531-9 - PubMed
  7. Hum Reprod. 1999 Apr;14(4):1122-6 - PubMed
  8. J Obstet Gynaecol Res. 1997 Apr;23(2):189-95 - PubMed
  9. Tech Vasc Interv Radiol. 2007 Dec;10 (4):291-8 - PubMed
  10. Radiology. 1967 Feb;88(2):329-33 - PubMed
  11. Best Pract Res Clin Obstet Gynaecol. 2012 Jun;26(3):357-70 - PubMed

Publication Types