RESUMO
Embolisation of head and neck hypervascular tumours and arterioveinous malformations [AVMs] is now a well-established therapeutic procedure. The purpose of this study was to analyse the technique and to evaluate the safety and value of preoperative embolization of hypervascular lesions. We retrospectively reviewed the records of 5 patients, aged between 14 and 47 years, with hypervascular tumours and AVMs in the head and neck. Lesions were distributed as follow: nasal angiofibroma [n=1], nasal angioleiomyoma [n=1], nasopharyngeal angiofibroma [n=1], aneurysmal bone cyst in the posterior element of the second cervical vertebra [n=1] and AVM of the inferior lip [n=1]. Angiography and embolization were carried out at the same time. Complete exclusion of lesions was obtained without any complications. Complementary surgical resection was performed with not notable blood loss
Assuntos
Humanos , Masculino , Feminino , Embolização Terapêutica , Cabeça , Pescoço , Estudos Retrospectivos , Angiofibroma , Angiomioma , Cistos Ósseos AneurismáticosRESUMO
We report two cases of spontaneous small bowel hematoma in two patients receiving long-term anticoagulant therapy. Plain abdominal film, ultrasound, CT scan and oral barium examination were performed. Abdominal ultrasonography and CT scan are in most cases relevant for the correct diagnosis of intra-mural small bowel hematoma. The diagnosis was based on the acknowledgment by the patient of anticoagulant drug consumption. Early diagnosis is crucial because most patients are treated nonoperatively with good outcome
Assuntos
Humanos , Masculino , Intestino Delgado/patologia , Enteropatias/etiologia , Anticoagulantes/efeitos adversos , Tomografia Computadorizada por Raios X , Hematoma/diagnósticoRESUMO
Two patients with gynaecological hemorrhage underwent successfully trans-arterial embolization. The first woman had an uncontrollable perineal hemorrhage following a delivery with forceps. Angiography showed extravasation of contrast from right and left vaginal artery. Hyperselective embolisation stopped the vaginal bleeding. The second woman had massive hemorrhage following radiotherapy for cervical cancer. Angiography demonstrated extravasation of contrast from both uterine arteries. The bleeding was controlled after hyperselective embolisation. Emergency arterial embolisation is a safe and effective means of control of irrepressible genital hemorrhage