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Intravenous Leiomyomatosis Complicated by Arteriovenous Fistula: Case Series and Literature Review

BACKGROUND: Uterine intravenous leiomyomatosis (IVL), a rare type of uterine leiomyoma, is defined by the intravascular proliferation of a histologically benign smooth muscle cell tumor. Pelvic arteriovenous fistula (AVF) is a rare vascular malformation that is most commonly congenital, post-traumat...

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Autores principales: Kan, Haoxuan, Cao, Yang, Chen, Yuexin, Zheng, Yuehong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234661/
https://www.ncbi.nlm.nih.gov/pubmed/35770232
http://dx.doi.org/10.3389/fcvm.2022.878386
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author Kan, Haoxuan
Cao, Yang
Chen, Yuexin
Zheng, Yuehong
author_facet Kan, Haoxuan
Cao, Yang
Chen, Yuexin
Zheng, Yuehong
author_sort Kan, Haoxuan
collection PubMed
description BACKGROUND: Uterine intravenous leiomyomatosis (IVL), a rare type of uterine leiomyoma, is defined by the intravascular proliferation of a histologically benign smooth muscle cell tumor. Pelvic arteriovenous fistula (AVF) is a rare vascular malformation that is most commonly congenital, post-traumatic, or iatrogenic. The link between leiomyomatosis and AVF has received little attention in the medical literature. RESULTS: We provide a case series of seven patients, four of whom were from our center, who had IVL complicated by a pelvic AVF. The symptoms of right heart failure were noted as swelling in the abdomen and two legs as well as a significant amount of ascites. Coil embolization of AVFs may be beneficial in minimizing bleeding during IVL surgery. A review of all accessible literature published on IVLs from 2000 to 2020 was conducted, and data were retrieved from 78 papers totaling 262 cases. Complications and recurrence were associated with pelvic mass excision and intravascular remnant tumor, respectively. CONCLUSION: Intravenous leiomyomatosis combined with AVF aggravates congestion symptoms of surrounding organs. It is worth noting the uncommon combination of AVF and IVL, stressing the importance of a thorough assessment and surgical approach in IVL treatment.
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spelling pubmed-92346612022-06-28 Intravenous Leiomyomatosis Complicated by Arteriovenous Fistula: Case Series and Literature Review Kan, Haoxuan Cao, Yang Chen, Yuexin Zheng, Yuehong Front Cardiovasc Med Cardiovascular Medicine BACKGROUND: Uterine intravenous leiomyomatosis (IVL), a rare type of uterine leiomyoma, is defined by the intravascular proliferation of a histologically benign smooth muscle cell tumor. Pelvic arteriovenous fistula (AVF) is a rare vascular malformation that is most commonly congenital, post-traumatic, or iatrogenic. The link between leiomyomatosis and AVF has received little attention in the medical literature. RESULTS: We provide a case series of seven patients, four of whom were from our center, who had IVL complicated by a pelvic AVF. The symptoms of right heart failure were noted as swelling in the abdomen and two legs as well as a significant amount of ascites. Coil embolization of AVFs may be beneficial in minimizing bleeding during IVL surgery. A review of all accessible literature published on IVLs from 2000 to 2020 was conducted, and data were retrieved from 78 papers totaling 262 cases. Complications and recurrence were associated with pelvic mass excision and intravascular remnant tumor, respectively. CONCLUSION: Intravenous leiomyomatosis combined with AVF aggravates congestion symptoms of surrounding organs. It is worth noting the uncommon combination of AVF and IVL, stressing the importance of a thorough assessment and surgical approach in IVL treatment. Frontiers Media S.A. 2022-06-13 /pmc/articles/PMC9234661/ /pubmed/35770232 http://dx.doi.org/10.3389/fcvm.2022.878386 Text en Copyright © 2022 Kan, Cao, Chen and Zheng. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Kan, Haoxuan
Cao, Yang
Chen, Yuexin
Zheng, Yuehong
Intravenous Leiomyomatosis Complicated by Arteriovenous Fistula: Case Series and Literature Review
title Intravenous Leiomyomatosis Complicated by Arteriovenous Fistula: Case Series and Literature Review
title_full Intravenous Leiomyomatosis Complicated by Arteriovenous Fistula: Case Series and Literature Review
title_fullStr Intravenous Leiomyomatosis Complicated by Arteriovenous Fistula: Case Series and Literature Review
title_full_unstemmed Intravenous Leiomyomatosis Complicated by Arteriovenous Fistula: Case Series and Literature Review
title_short Intravenous Leiomyomatosis Complicated by Arteriovenous Fistula: Case Series and Literature Review
title_sort intravenous leiomyomatosis complicated by arteriovenous fistula: case series and literature review
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234661/
https://www.ncbi.nlm.nih.gov/pubmed/35770232
http://dx.doi.org/10.3389/fcvm.2022.878386
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