Celtikci Pinar, Ergun Onur, Tatar Idil Gunes, Conkbayir Isik, Hekimoglu Baki
Department of Radiology, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
Pol J Radiol. 2014 Oct 7;79:352-5. doi: 10.12659/PJR.890900. eCollection 2014.
Pelvic vascular lesions such as pseudoaneurysms and arteriovenous fistulas associated with the internal pudendal artery are uncommon. The most common cause is traumas including those of iatrogenic origin. Surgical treatment is complicated due to location of the lesions and endovascular approach is usually the first choice among the treatment options.
A 79-year-old patient was admitted with massive hematuria following transurethral resection of prostate for benign prostatic hyperplasia. Doppler US and angiography revealed a pseudoaneurysm and arteriovenous fistula originating from the right internal pudendal artery. It was successfully treated with coil embolization.
Arteriovenous fistulas and pseudoaneurysms concerning internal pudendal artery may occur as complications of prostate operations. Minimally invasive endovascular methods provide safe and efficient treatment and today should be considered as the first line of choice.
诸如与阴部内动脉相关的假性动脉瘤和动静脉瘘等盆腔血管病变并不常见。最常见的原因是创伤，包括医源性创伤。由于病变的位置，手术治疗较为复杂，血管内介入治疗通常是治疗选择中的首选。
一名79岁患者因良性前列腺增生行经尿道前列腺切除术后出现大量血尿入院。多普勒超声和血管造影显示起源于右侧阴部内动脉的假性动脉瘤和动静脉瘘。通过弹簧圈栓塞成功治疗。
涉及阴部内动脉的动静脉瘘和假性动脉瘤可能作为前列腺手术的并发症出现。微创血管内方法提供了安全有效的治疗，如今应被视为首选的一线治疗方法。
