PMC9893089_01
Pelvic angiography showing arterial aneurysms (arrows) with arteriovenous shunting, with early draining veins (arrowheads) in the lower vagina bilaterally.
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As vaginal bleeding recurred, angiography was performed, and arterial aneurysms with AVFs (Figure 1) fed by the internal pudendal arteries (Figure 2) were identified in the lower vagina, bilaterally.
Left internal iliac arteriography clearly showing an arterial aneurysm (arrow) with early draining veins (arrowheads) arising from the internal pudendal artery. Trans-arterial embolization with coils (VortX -18, 3 mm x 2.5 mm; Boston Scientific, Marlborough, MA, USA) was performed at both sides of the vagina by super-selective catheterization of the feeding vessels.
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As vaginal bleeding recurred, angiography was performed, and arterial aneurysms with AVFs (Figure 1) fed by the internal pudendal arteries (Figure 2) were identified in the lower vagina, bilaterally.
Follow-up angiography performed 3 months after trans-arterial embolization showing complete obliteration of the previous vascular lesions.
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Repeat angiography 3 months later revealed obliteration of the previous vascular lesions (Figure 3).