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Iatrogenic exacerbation of pulmonary arteriovenous malformation in a patient with benign metastasizing leiomyoma

We present a case of a middle-aged woman with known benign metastasizing leiomyoma presenting with pleural effusion. After ultrasound-guided drainage of the largest cyst was performed, the patient became hypoxemic. Chest computerized tomography (CT) showed a large tortuous vessel adjacent to the big...

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Detalles Bibliográficos
Autores principales: Cadieux-Simard, Marie-Lie, Hennessey, Hooman, Small, David, Daskalopoulou, Stella S, Camlioglu, Errol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4184722/
https://www.ncbi.nlm.nih.gov/pubmed/25473552
http://dx.doi.org/10.1002/rcr2.34
Descripción
Sumario:We present a case of a middle-aged woman with known benign metastasizing leiomyoma presenting with pleural effusion. After ultrasound-guided drainage of the largest cyst was performed, the patient became hypoxemic. Chest computerized tomography (CT) showed a large tortuous vessel adjacent to the biggest cyst that had been drained. A 10-fold increase in the diameter of this vessel was noted when compared to CT scan performed 24 h before the procedure. A 20% right-to-left shunt was observed on nuclear medicine shunt study. To our knowledge, this is the first reported case of metastasizing leiomyoma with coexistent pulmonary arteriovenous malformation.