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Transcatheter embolization for the treatment of both vaginal and lower intestinal bleeding due to advanced pelvic

Bulent Karaman1, Nisa Cem Oren1, Cagatay Andic1

  • 1Department of Radiology, Gulhane Military Medical School, Ankara, Turkey.

The Eurasian Journal of Medicine
|January 23, 2015
PubMed

Insights

Advanced cervical cancer can cause dangerous bleeding from the vagina and intestines. Transcatheter arterial embolization successfully treated a pseudoaneurysm and fistula in the internal iliac artery, offering a safe and effective solution.

Area of Science:

  • Interventional Radiology
  • Vascular Surgery
  • Gynecologic Oncology

Background:

  • Pelvic malignancies, particularly advanced cervical carcinoma, can lead to severe hemorrhage.
  • Lower gastrointestinal (GI) and vaginal bleeding in these patients often indicates complex vascular complications.

Observation:

  • A case of end-stage cervical carcinoma presented with combined lower intestinal and vaginal bleeding.
  • Internal iliac arteriography revealed a pseudoaneurysm in the vaginal artery with an associated arteriovenous fistula to the lower intestine.

Findings:

  • Selective transcatheter coil embolization was successfully performed to occlude the pseudoaneurysm and fistula.
  • This interventional procedure effectively controlled the life-threatening hemorrhage.

Implications:

  • The internal iliac artery is a critical source to evaluate for lower GI bleeding in advanced pelvic cancers.
  • Transcatheter arterial embolization represents a safe and effective therapeutic option for managing such vascular complications.

Keywords:
AngiographyCoil embolizationHemorrhageLower gastrointestinal bleedingTranscatheter

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