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Hemangioma of the uterus associated with hereditary hemorrhagic telangiectasia
1Department of Clinical Pathology, William Beaumont Hospital, Royal Oak, Michigan, USA.
Background:
Hemangiomas of the uterus are rare. Involvement of the uterus with hereditary hemorrhagic telangiectasia causing menorrhagia is also rare. To our knowledge, only one case of combined uterine hemangioma and hereditary hemorrhagic telangiectasia has ever been reported.
Case:
A 34-year-old woman was to undergo hysterectomy for menorrhagia unresponsive to treatment. Before surgery, she was found to have typical telangiectases associated with hereditary hemorrhagic telangiectasia. The fundus of the uterus contained a hemangioma extending from the serosa to the endometrium.
Conclusion:
Vascular malformation have been found in various organs in individuals with hereditary hemorrhagic telangiectasia. Although involvement of the uterus in hereditary hemorrhagic telangiectasia is uncommon, telangiectasia should be considered in any patient with menorrhagia resistant to treatment.