PMC3335629_01
Prominent hypertrophy and multiple venous varicosities of the patient's right leg at 35 weeks of gestation (a). (R: right, L: left). The massive vulvovaginal varicosities present at 35 weeks of gestation (b) shrunk one month later (c).
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On hospital admission at 35 weeks of gestation for planned delivery, physical examination showed prominent hypertrophy and multiple venous varicosities of the right leg as well as massive (15 x 10 cm) vulvovaginal varicosities (Figure 1). The prominent vulvovaginal varicosities shrunk considerably one month later (Figure 1(c)), although the vascular anomalies in her right leg showed no changes.
Results of MRA performed at 35 weeks of gestation. (a) Many hemangiomas and varicosities in the right leg can be seen. (b) Abnormal vessels near the anterior superior iliac spine, (c) abnormal varicosities in the right lower abdomen and upper pubic region, and (d) hemangioma near the inferior epigastric vein are also visible.
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AVMs. Abdominal and pelvic MRAs revealed hemangiomas and varicosities in the right leg, communications among the varicosities in the right lower abdomen, and abnormal vessels near the anterior superior iliac spine as well as unusual varicosities in the pubic region (Figures 2(a)-2(c)). In her left lower abdomen, the hemangioma associated with the inferior epigastric vein communicated with the lesions near the left anterior superior iliac spine (Figure 2(d)).