Kędzierski B, Nowak G, Kuśmierska M, Jaźwiec P, Szuba A. Giant congenital malformation of the perirectal plexus in computed tomography imaging - case report.
Pol J Radiol 2013;
78:50-3. [PMID:
23807885 PMCID:
PMC3693837 DOI:
10.12659/pjr.883945]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2012] [Accepted: 02/18/2013] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND
Congenital arteriovenous malformation (AVM) in the pelvic area is uncommon in males.
CASE REPORT
The described case is of a giant lesion of this type that caused recurrent hemorrhaging in the lower part of the gastrointestinal tract. Preliminary diagnosis of vascular pathology was made on the basis of an endoscopic examination that revealed numerous pulsating protuberances of the rectal wall, in which blood flow was identified by means of transrectal ultrasonography. Complementing the diagnostics with a CT revealed a considerable extent of malformation, as well as its morphology and anatomical relations with the surrounding tissues.
RESULTS
Following a two-year follow-up period, the malformation did not progress or demonstrate any intensification of clinical symptoms, therefore the patient continues to undergo conservative treatment.
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