PDF(Pubmed)
Abstract：
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要：
■子宫静脉内平滑肌瘤病（IVL），一种罕见的子宫平滑肌瘤,由组织学上良性平滑肌细胞肿瘤的血管内增殖定义。盆腔动静脉瘘（AVF）是一种罕见的血管畸形，最常见的是先天性，创伤后,或者医源性.平滑肌瘤病和AVF之间的联系在医学文献中很少受到关注。
■我们提供了一个由7名患者组成的病例系列，其中四人来自我们的中心，IVL并发骨盆AVF。注意到右心衰竭的症状为腹部和两条腿肿胀以及大量腹水。AVF的线圈栓塞可能有利于减少IVL手术期间的出血。对2000年至2020年发表的关于IVL的所有可访问文献进行了回顾，从78篇论文中检索到数据，共262例。并发症和复发与盆腔肿块切除和血管内残留肿瘤有关，分别。
■静脉平滑肌瘤病合并AVF会加重周围器官的充血症状。值得注意的是，AVF和IVL的不常见组合，强调在IVL治疗中全面评估和手术方法的重要性。
■我们提供了一个由7名患者组成的病例系列，其中四人来自我们的中心，IVL并发骨盆AVF。注意到右心衰竭的症状为腹部和两条腿肿胀以及大量腹水。AVF的线圈栓塞可能有利于减少IVL手术期间的出血。对2000年至2020年发表的关于IVL的所有可访问文献进行了回顾，从78篇论文中检索到数据，共262例。并发症和复发与盆腔肿块切除和血管内残留肿瘤有关，分别。
■静脉平滑肌瘤病合并AVF会加重周围器官的充血症状。值得注意的是，AVF和IVL的不常见组合，强调在IVL治疗中全面评估和手术方法的重要性。
