About: Myometrial cavernous hemangioma with pulmonary thromboembolism in a post-partum woman: a case report and review of the literature

Facets (new session)
Description
Metadata
Settings
- owl:sameAs
- Inference Rule:

About: Myometrial cavernous hemangioma with pulmonary thromboembolism in a post-partum woman: a case report and review of the literature Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Myometrial cavernous hemangioma with pulmonary thromboembolism in a post-partum woman: a case report and review of the literature
Creator	Bhavsar, Tapan Duker, Nahum Wurzel, John
Source	PMC
abstract	INTRODUCTION: Cavernous hemangiomas of the uterus are rare benign vascular lesions. Nine cases of diffuse cavernous hemangioma of the gravid uterus have been reported, most of which diffusely involved the myometrium. These vascular malformations are clinically significant, and may cause pronounced bleeding resulting in maternal or fetal demise. Thrombosis of cavernous hemangiomas of the uterus has been previously reported. We here report the first case in which a thrombosed cavernous hemangioma of the myometrium resulted in a fatal pulmonary embolism in a post-partum woman. CASE PRESENTATION: A 25-year-old obese African-American woman who had one pregnancy and was delivered of twins by cesarean section was admitted 1 week after the successful delivery. The 12-day clinical course included ventilator-dependent respiratory failure, systemic hypertension, methicillin-resistant Staphylococcus aureus in the sputum, leukocytosis and asystole. A transabdominal ultrasound examination showed heterogeneous thickened and irregular products in the endometrial canal. The laboratory values were relevant for an increased prothrombin time, activated partial thromboplastin time, ferritin and a decrease in hemoglobin. The clinical cause of death was cited as acute respiratory distress syndrome. At autopsy, a 400g spongy, hemorrhagic uterus with multiple cystic spaces measuring approximately 0.5 × 0.4cm filled with thrombi within the myometrium was identified. Immunohistological examination with a CD31 stain for vascular endothelium associated antigen confirmed several endothelium-lined vessels, some of which contained thrombi. These histological features were consistent with cavernous hemangioma of the myometrium. A histological examination of the lungs revealed multiple fresh thromboemboli in small- and medium-sized pulmonary arteries in the right upper and lower lobes without organization, but with adjacent areas of fresh hemorrhagic infarction. CONCLUSION: This case underscores the importance of a high index of suspicion in a pregnant or post-partum woman presenting with respiratory symptoms. Thrombosis of the cavernous hemangiomas of the gravid or post-partum uterus is a rare entity. This case is of interest because it indicates that this condition can be fatally complicated by embolization of the thrombi in the cavernous myometrial hemangiomas. Although delivery by conservative methods, as well as cesarean section, is possible without resorting to hysterectomy, occasionally, the consequences could be fatal as in this case.
has issue date	2012-11-23(xsd:dateTime)
bibo:doi	10.1186/1752-1947-6-397
bibo:pmid	23176111
has license	cc-by
sha1sum (hex)	a4bb401840392d9be7bd9f2b5215fb219957d4f2
schema:url	https://doi.org/10.1186/1752-1947-6-397
resource representing a document's title	Myometrial cavernous hemangioma with pulmonary thromboembolism in a post-partum woman: a case report and review of the literature
has PubMed Central identifier	PMC3543180
has PubMed identifier	23176111
schema:publication	J Med Case Rep
resource representing a document's body	covid:a4bb401840392d9be7bd9f2b5215fb219957d4f2#body_text
is schema:about of	named entity 'fetal' named entity 'twins' named entity 'uterus' named entity 'conservative' named entity 'asystole' named entity 'ultrasound' named entity 'Although' named entity 'obese' named entity 'symptoms' named entity 'cases' named entity 'post-partum' named entity 'MATERNAL' named entity 'HEMOGLOBIN' named entity 'CAUSE' named entity 'MYOMETRIUM' named entity 'DIFFUSE' named entity 'INCLUDED' named entity 'maternal' named entity 'fatally' named entity 'consequences' named entity 'occasionally' named entity 'upper' named entity 'prothrombin time' named entity 'week' named entity 'thrombi' named entity 'areas' named entity 'clinical' named entity 'cesarean' named entity 'benign' named entity 'hemangiomas' named entity 'asystole' named entity 'transabdominal ultrasound' named entity 'Thrombosis' named entity 'vascular lesions' named entity 'African-American' named entity 'Cavernous hemangiomas' named entity 'respiratory symptoms' named entity 'cavernous hemangioma' named entity 'thrombosed' named entity 'methicillin-resistant Staphylococcus aureus' named entity 'histological examination' named entity 'pulmonary embolism' named entity 'cesarean section' named entity 'clinically significant' named entity 'pulmonary arteries' named entity 'embolization' named entity 'hemorrhagic infarction' named entity 'cesarean' named entity 'pulmonary thromboembolism' named entity 'cavernous hemangioma' named entity 'post-partum' named entity 'Thrombosis' named entity 'thickened' named entity 'DAD' named entity 'hemangiomas' named entity 'uterus' named entity 'uterine wall' named entity 'surgical intervention' named entity 'anastomotic' named entity 'DIC' named entity 'hemangioma' named entity 'ferritin' named entity 'CD31' named entity 'Cavernous hemangioma' named entity 'radiotherapy' named entity 'marijuana' named entity 'electrocauterization' named entity 'calcification' named entity 'smoking tobacco' named entity 'microvasculature' named entity 'uterus' named entity 'hemangiomas' named entity 'myometrium' named entity 'Ativan' named entity 'endothelium' named entity 'uncomplicated pregnancy' named entity 'lumina' named entity 'kidney' named entity 'thromboemboli'

Faceted Search & Find service v1.13.91 as of Mar 24 2020

Alternative Linked Data Documents: Sponger | ODE Content Formats:

RDF

ODATA

Microdata

About

OpenLink Virtuoso version 07.20.3229 as of Jul 10 2020, on Linux (x86_64-pc-linux-gnu), Single-Server Edition (94 GB total memory)
Data on this page belongs to its respective rights holders.
Virtuoso Faceted Browser Copyright © 2009-2024 OpenLink Software