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

Patient: Female, 71-year-old Final Diagnosis: Cavernous hemangioma Symptoms: Polyuria Clinical Procedure: — Specialty: Obstetrics and Gynecology OBJECTIVE: Rare disease BACKGROUND: Vaginal wall hemangiomas are extremely rare, benign, vascular tumors of the female genitalia. Most cases occur in child...

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Autores principales: Fukuoka, Mari, Okumura, Toshiyuki, Hayashi, Ayato, Takeda, Natsumi, Koizumi, Akari, Ujihira, Takafumi, Makino, Shintaro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126867/
https://www.ncbi.nlm.nih.gov/pubmed/37074991
http://dx.doi.org/10.12659/AJCR.939474
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author Fukuoka, Mari
Okumura, Toshiyuki
Hayashi, Ayato
Takeda, Natsumi
Koizumi, Akari
Ujihira, Takafumi
Makino, Shintaro
author_facet Fukuoka, Mari
Okumura, Toshiyuki
Hayashi, Ayato
Takeda, Natsumi
Koizumi, Akari
Ujihira, Takafumi
Makino, Shintaro
author_sort Fukuoka, Mari
collection PubMed
description Patient: Female, 71-year-old Final Diagnosis: Cavernous hemangioma Symptoms: Polyuria Clinical Procedure: — Specialty: Obstetrics and Gynecology 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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spelling pubmed-101268672023-04-26 A Case of a Refractory Bleeding Giant Vaginal Wall Cavernous Hemangioma Successfully Managed with Sclerotherapy Fukuoka, Mari Okumura, Toshiyuki Hayashi, Ayato Takeda, Natsumi Koizumi, Akari Ujihira, Takafumi Makino, Shintaro Am J Case Rep Articles Patient: Female, 71-year-old Final Diagnosis: Cavernous hemangioma Symptoms: Polyuria Clinical Procedure: — Specialty: Obstetrics and Gynecology 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. International Scientific Literature, Inc. 2023-04-19 /pmc/articles/PMC10126867/ /pubmed/37074991 http://dx.doi.org/10.12659/AJCR.939474 Text en © Am J Case Rep, 2023 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Fukuoka, Mari
Okumura, Toshiyuki
Hayashi, Ayato
Takeda, Natsumi
Koizumi, Akari
Ujihira, Takafumi
Makino, Shintaro
A Case of a Refractory Bleeding Giant Vaginal Wall Cavernous Hemangioma Successfully Managed with Sclerotherapy
title A Case of a Refractory Bleeding Giant Vaginal Wall Cavernous Hemangioma Successfully Managed with Sclerotherapy
title_full A Case of a Refractory Bleeding Giant Vaginal Wall Cavernous Hemangioma Successfully Managed with Sclerotherapy
title_fullStr A Case of a Refractory Bleeding Giant Vaginal Wall Cavernous Hemangioma Successfully Managed with Sclerotherapy
title_full_unstemmed A Case of a Refractory Bleeding Giant Vaginal Wall Cavernous Hemangioma Successfully Managed with Sclerotherapy
title_short A Case of a Refractory Bleeding Giant Vaginal Wall Cavernous Hemangioma Successfully Managed with Sclerotherapy
title_sort case of a refractory bleeding giant vaginal wall cavernous hemangioma successfully managed with sclerotherapy
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126867/
https://www.ncbi.nlm.nih.gov/pubmed/37074991
http://dx.doi.org/10.12659/AJCR.939474
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