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Query: UMLS:C0030794 (pelvic pain)
 4,056 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A congenital arteriovenous malformation in the pelvic cavity is extremely rare and most patients have vague and longstanding pelvic symptoms before an exact diagnosis is made. We treated a 50-year-old man who suffered from recurrent pelvic pain. The diagnosis was confirmed by rectal palpation, colour Doppler ultrasonography, computed tomography and arteriography. The patient was treated successfully by ligation of the nutrient vessels to reduce the perfusion volume by thrombosis of the malformation. Complete resection of the arteriovenous fistula, which involves a high risk of extensive blood loss, was not necessary. Three years after surgical intervention the patient has no complaints and no rectal pulsation.
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PMID:[Symptomatic congenital arteriovenous malformation in the man]. 899 33

This is the unique report of a patient with deep-seated, left-sided pelvic pain following a large-loop excision of the transformation zone (LLETZ) for cervical intraepithelial neoplasia III. She transpired to have a definite diagnosis of pelvic varicosities which were only on the left side. Our surmise was that the varicosities had risen on the back of an arteriovenous malformation following her LLETZ performed by a colleague. The first attempted treatment was radiologic embolization. When this failed, she had a formal surgical procedure, and the left unilateral varicosities were ligated. Her pain ceased entirely thereafter, and she remained pain free at her 1-year review.
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PMID:Chronic pelvic pain: a rare complication following a large-loop excision of the transformation zone. 1668 36