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Pelvic angiomatosis: an unusual cause of recurrent obstructed labor: a case report and review of literature.
MedLine Citation:
PMID:  20300762     Owner:  NLM     Status:  In-Process    
BACKGROUND: Pelvic angiomatosis is a very rare cause of obstructive labor.
MATERIALS AND METHODS: A 26-year-old P2 L2 had two cesarean sections for recurrent obstructed labor due to a large pelvic mass. Investigations after the first cesarean section suggested a benign nature of the mass for which she was advised surgical resection, but she refused due to social reasons. Tumor had pelvic and extrapelvic part extending through obturator foramen into the right thigh. Resection of the pelvic part by abdominoperineal approach led to a profusely bleeding bed which was managed by ligation of bilateral internal iliac artery. Resection of extrapelvic part was attempted but it was abandoned due to hemodynamic instability of the patient.
RESULTS: Patient is asymptomatic and is having a relatively static residual extrapelvic part of pelvic tumor for last 2 years.
CONCLUSION: Pelvic angiomatosis is a very rare condition but should be considered and ruled out in case of a pelvic mass of uncertain origin. MRI plays an important role in the initial diagnosis, in surgical planning and in the follow-up in order to detect recurrences. Surgical resection should be as conservative as possible, balancing the need for complete surgical extirpation with the morbidity of the procedure.
Sharda Brata Ghosh; Y M Mala; Reva Tripathi; Abha Singh
Publication Detail:
Type:  Journal Article     Date:  2010-03-19
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  283     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  127-9     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Lady Harding Medical College and Associated Hospital, Delhi, India.
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