Article Data

  • Views 535
  • Dowloads 147

Case Reports

Open Access

Uterine angioleiomyoma with extra-gonadal arterial supply from the splenic artery - case report and literature review

  • S. Piątek1
  • A. Fleming1
  • M. Gajewska1,*,
  • M. Wielgoś1

1Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw (Poland)

DOI: 10.12892/ejgo4601.2019 Vol.40,Issue 3,June 2019 pp.471-473

Published: 10 June 2019

*Corresponding Author(s): M. Gajewska E-mail: ma.gajewska@gmail.com

Abstract

Angioleiomyoma (AL) is a benign tumor, composed of smooth muscle cells and thick-walled vessels. It occurs very rarely in female genital tract. The following is a case report of 45-year-old woman diagnosed with AL of the uterine with aberrant arterial supply from extra-gonadal vessels. Preoperative computed tomography examination revealed a large 30-cm tumor of the uterine, which was supplied by branches from the splenic artery. The woman was treated radically with hysterectomy and bilateral salpingo-oophorectomy. A review of the literature of AL diagnosed in the female genital tract was done.

Keywords

Angioleiomyoma (AL); Benign tumor; Aberrant arterial supply from extra-gonadal vessels.

Cite and Share

S. Piątek,A. Fleming,M. Gajewska,M. Wielgoś. Uterine angioleiomyoma with extra-gonadal arterial supply from the splenic artery - case report and literature review. European Journal of Gynaecological Oncology. 2019. 40(3);471-473.

References

[1] Baird D.D., Dunson D.B., Hill M.C., Cousins D., Schectman J.M.: ''High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence''. Am. J. Obstet. Gynecol., 2003, 188, 100.

[2] Mäkinen N., Mehine M., Tolvanen J., Kaasinen E., Li Y., Lehtonen H.J., et al.: ''MED12, the mediator complex subunit 12 gene, is mutated at high frequency in uterine leiomyomas''. Science, 2011, 334, 252.

[3] Mathonnet M., Descottes B., Valleix D., Labrousse F., Truffinet V., Denizot Y.: ''Quantitative analysis using ELISA of vascular endothelial growth factor and basic fibroblast growth factor in human colorectal cancer, liver metastasis of colorectal cancer and hepatocellular carcinoma''. World J. Gastroenterol., 2006, 12, 3782.

[4] Flake G.P., Andersen J., Dixon D.: ''Etiology and pathogenesis of uterine leiomyomas: a review''. Environ. Health Perspect., 2003, 111, 1037.

[5] Hachisuga T., Hashimoto H., Enjoji M.: ''Angioleiomyoma: a clinicopathologic reappraisal of 562 cases''. Cancer, 1984, 54, 126.

[6] Chang S., Lee M.S., Kim M.D., Yoon C.J., Jung D.C., Lee M., et al.: ''Inferior mesenteric artery collaterals to the uterus during uterine artery embolization: prevalence, risk factors, and clinical outcomes''. J. Vasc. Interv. Radiol., 2013, 24, 1353.

[7] Wise L.A., Laughlin-Tommaso S.K.: ''Epidemiology of uterine fibroids – from menarche to menopause''. Clin. Obstet. Gynecol., 2016, 59, 2.

[8] Grigoriadis C., Androutsopoulos G., Zygouris D., Arnogiannaki N., Terzakis E.: ''Uterine angioleiomyoma causing severe abnormal uterine bleeding''. Clin. Exp. Obstet. Gynecol., 2014, 41, 102.

[9] Handler M., Rezai F., Fless K.G., Litinski M., Yodice P.C.: ''Uterine angioleiomyoma complicated by consumptive coagulopathy''. Gynecol. Oncol. Case Rep., 2012, 2, 89-91.

[10] Thomas S., Radhakrishnan L., Abraham L., Matthai A.: ''Uterine Angioleiomyoma with atypia, raised CA-125 levels, and pseudo-Meigs syndrome: An alarming presentation''. Case Rep. Pathol., 2012, Article ID 519473.

[11] Sharma C., Sharma M., Chander B., Soni A., Soni P.K.: ''Angioleiomyoma uterus in an adolescent girl: a highly unusual presentation''. J. Pediatr. Adolesc. Gynecol., 2014, 27, e69.

[12] Hakverdi S., Dolapçioğlu K, Güngören A, Yaldiz M., Hakverdi A.U.: ''Multiple uterine angioleiomyomas mimicking an ovarian neoplasm: a case report''. Eur. J. Gynaecol. Oncol., 2009, 30, 592.

[13] Jin C.H., Yi K.W., Kim Y.S., Shin J.H., Kim T., Hur J.Y., et. al.: ''Uterine angioleiomyoma: unusual appearance at laparoscopy''. J. Minim. Invasive Gynecol., 2013, 20, 149.

[14] Singh S., Naik M., Bag N.D., Patra S.: ''Angioleiomyoma of uterus masquerading as malignant ovarian tumor''. J. Midlife Health, 2017, 8, 145.

[15] Wee-Stekly W.W., Mueller M.D.: ''Retroperitoneal tumors in the pelvis: A diagnostic challenge in gynecology''. Front. Surg., 2014, 1, 49.

[16] Lee S.J., Choi Y.S., Park K.K.: ''Ovarian angioleiomyoma: a case report''. Int. J. Clin. Exp. Pathol., 2014, 7, 8235.

[17] Agorastos T., Dinas K., Patsiaoura K.: ''Cystic degenerated angioleiomyoma mimicking ovarian pathology’'. Acta Obstet. Gynecol. Scand., 2001, 80, 863.

[18] Garg G., Mohanty S.K.: ''Uterine angioleiomyoma: a rare variant of uterine leiomyoma''. Arch. Pathol. Lab. Med., 2014, 138, 1115.

[19] White A.M., Banovac F., Yousefi S., Slack R.S., Spies J.B.: ''Uterine fibroid embolization: the utility of aortography in detecting ovarian artery collateral supply''. Radiol., 2007, 244, 291.

[20] Ripps B.A, Nason W.B., Tan T.B., Mietling S.W.: ''Thrombosis, leiomyoma, and GnRH-a therapy: a case report''. J. Reprod. Med., 1997, 42, 124.

[21] Song C.I., McDermott M., Sclafani T., Charles H.W.: ''Aberrant arterial supply to uterine fibroids from branches of the superior mesenteric artery''. Cardiovasc. Intervent. Radiol., 2014, 37, 1618.

[22] Dixon S., Tapping C.R., Chuah P.S., Bratby M., Uberoi R., Anthony S.: ''Successful fibroid embolization of pelvic and inferior mesenteric artery collaterals after previous uterine artery embolization''. Acta Radiol., 2013, 53, 292.

[23] McLucas B.: ''Extra-gonadal collateral supply to uterine leiomyomata: A case report''. Minim. Invasive Ther. Allied Technol., 2009, 2, 103

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Submission Turnaround Time

Conferences

Top