Genital tract cavernous hemangioma as a rare cause of postpartum hemorrhage

Yu, Bo; Lee, Ga Eul; Cho, Dong Hyu; Jeong, Young Ju; Lee, Jeong Heon

doi:10.5468/ogs.2017.60.5.473

Cited by 10 publications

(13 citation statements)

References 11 publications

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“…Seven vaginal hemangiomas have been reported to date (Table 1) [1,[4][5][6][7]. Six cases (75%) were associated with pregnancy, in particular, late pregnancy, in addition to the present case.…”

Section: Resultsmentioning

confidence: 57%

“…However, an episiotomy was performed at the previous delivery, at the same place as the vaginal hemangioma. Yu et al recently also mentioned that the vaginal hemangioma in terminal pregnancy was observed at the previous episiotomy [7]. Therefore, the previous episiotomy may have affected the formation of the vaginal hemangioma in late pregnancy.…”

Section: Discussionmentioning

confidence: 97%

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The relationship between vaginal cavernous hemangiomas and late pregnancy. A case report and a review of the literature

Yamashita¹,

Takayanagi²,

Higashi³

et al. 2019

Clin. Exp. Obstet. Gynecol.

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The occurrence of cavernous hemangiomas in the vagina is very rare. A 34-year-old woman at 33 weeks' gestation was admitted with a large reddish mass of approximately 5 cm in diameter in the vagina, with bleeding and a sensation of discomfort with walking. The vaginal mass was excised to confirm the pathological diagnosis. Histopathological analysis showed various dilated vessels lined by increased endothelial cells, and the final diagnosis was vaginal cavernous hemangioma. The immunohistochemical analysis showed positive expressions of vascular endothelial growth factor (VEGF), estrogen receptor (ER), and progesterone receptor (PgR) in perivascular stromal cells around the hemangioma. Additionally, the authors reviewed the relationship between genital hemangiomas and pregnancy from the literature. In the female genital tract, six (75%) of eight vaginal hemangiomas were associated with pregnancy, in particular, late pregnancy, in addition to the present case, and eight (32%) of 25 cervical hemangiomas were seen in late pregnancy. Taken together, the hormonal status in late pregnancy may affect the formation of vaginal hemangiomas.

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Section: Resultsmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 97%

The relationship between vaginal cavernous hemangiomas and late pregnancy. A case report and a review of the literature

Yamashita¹,

Takayanagi²,

Higashi³

et al. 2019

Clin. Exp. Obstet. Gynecol.

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“…However, there are also publications reporting necrosis of the uterus, sciatic nerve, and bladder if not performed under the appropriate conditions (13,14) . Although uterine atony is the most common cause of PPH, vascular pathologies such as arteriovenous malformation (AVM), hemangioma, and vascular tumors must be borne in mind for patients with massive hemorrhage (15) . Variations in the pelvic vascular anatomy in particular may cause serious bleeding in the postpartum period.…”

Section: Discussionmentioning

confidence: 99%

“…There are reported cases in the literature in which selective pelvic embolization was performed due to PPH of different etiologies. Yu et al (15) reported the efficacy of selective arterial embolization in a patient with vaginal hemangioma who remained undetected in antenatal follow-up and who experienced massive bleeding after vaginal delivery with episiotomy. The development of collateral vessels between the inferior mesenteric artery (IMA) and uterus is not normally observed.…”

Section: Discussionmentioning

confidence: 99%

Bilateral iliac artery aneurysm: A rare cause of postpartum recurrent hemorrhage

Yılmaz

Topdaği

Eren

et al. 2020

tjod

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Postpartum kanamalar, maternal ölüme neden olabilecek kritik bir sağlık sorunudur. Bozulmuş maternal hemodinamik durumlarda, kanamayı kontrol etmek için hipogastrik arter ligasyonu veya postpartum histerektomi gibi çeşitli cerrahi tedaviler kullanılabilir. Otuz yaşındaki bir multipar spontan vajinal yolla doğum yapmış olan hasta histerektomi ve postpartum kanama nedeniyle hipogastrik arter ligasyonu geçirmişti. Hasta kontrolsüz kanama nedeniyle kliniğimize sevk edildi ve kliniğimizde takiplerinde tekrarlayan masif kanama atakları geçirdi. Girişimsel radyologlar tarafından kanama odağını saptamak için yapılan pelvik anjiyografide kanama odağını tespit etmek için sağ internal iliak arterde arteriyovenöz fistül ve anevrizma ve sol internal iliak arterin tam ligate olmadığı saptandı. Hastanın sağ iliak arter ve sol uterin arterine selektif embolizasyon yapılarak kanama control altına alındı. Postpartum kanamalar her türlü girişimsel işleme ragmen hala anne ölümlerinin önemli bir nedenidir.

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“…Hemangiomas can occur systemically, but the most common sites are the skin of the head and the neck [ 1 ]. Hemangiomas rarely occur in female genital organs, such as the uterus, vagina, and perineum [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

A Case of a Refractory Bleeding Giant Vaginal Wall Cavernous Hemangioma Successfully Managed with Sclerotherapy

et al. 2023

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Objective:Rare disease Background:Vaginal wall hemangiomas are extremely rare, benign, vascular tumors of the female genitalia. Most cases occur in childhood, but a few cases can be acquired; however, the mechanism of hemangioma formation remains unknown. Most hemangiomas involving female genital organs are small and asymptomatic. However, huge hemangiomas can cause irregular genital bleeding, infertility, and miscarriage. Surgical excision and embolization are the most common treatment options. We reveal that sclerotherapy achieved good outcomes in a patient with an intractable huge vaginal wall hemangioma. Case Report:A 71-year-old woman visited a local doctor with concerns of frequent urination. A ring pessary was inserted after a diagnosis of pelvic organ prolapse. However, symptoms did not improve, and the patient consulted another hospital. The previous physician diagnosed vaginal wall tumors and prolapse and performed a colporrhaphy. However, she was referred to our hospital with heavy intraoperative bleeding. Imaging examination revealed a huge hemangioma on the vaginal wall, which was histologically diagnosed as a cavernous hemangioma. Angiography revealed hemorrhage in the right peripheral vaginal artery. Owing to concerns regarding extensive vaginal wall necrosis caused by arterial embolization, sclerotherapy using monoethanolamine oleate was selected. Hemostasis was achieved 1 month after sclerotherapy, and postoperative imaging showed the lesion had shrunk in size. No recurrence of hemangioma was observed 19 months after surgery. Conclusions:We report a case of a large vaginal wall intractable bleeding hemangioma. Sclerotherapy can be a suitable treatment option for large vaginal hemangiomas that are too extensive to be treated using surgery or arterial embolization.

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Genital tract cavernous hemangioma as a rare cause of postpartum hemorrhage

Cited by 10 publications

References 11 publications

The relationship between vaginal cavernous hemangiomas and late pregnancy. A case report and a review of the literature

The relationship between vaginal cavernous hemangiomas and late pregnancy. A case report and a review of the literature

Bilateral iliac artery aneurysm: A rare cause of postpartum recurrent hemorrhage

A Case of a Refractory Bleeding Giant Vaginal Wall Cavernous Hemangioma Successfully Managed with Sclerotherapy

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