Massive spouting bleeding from chronic stasis ulceration caused by arteriovenous communication of the lower extremity.
We report a case of massive bleeding from a varicose vein in a calf. A 56-year-old man was brought into the emergency unit of our hospital with massive bleeding from an ulcer on his left calf. A duplex scan and arteriography revealed arteriovenous communication at the site of stasis ulceration. After primary hemostasis, coil embolization of the feeding artery to the arteriovenous communication was successfully performed, followed by stripping of the greater saphenous vein. Careful attention thus needs to be paid to arteriovenous communication that can cause life-threatening bleeding from stasis ulceration. Coil embolization of the feeding arterial branch can safely and effectively treat this disease.
Komai
Hiroyoshi
H
Department of Cardiovascular Surgery, Saiseikai Wakayama Hospital, Wakayama 640-8158, Japan. h-komai@saiseikai-wakayama.jp
Kawago
Mitsumasa
M
Juri
Masanobu
M
D001165:Arteriovenous Malformations / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy; D002908:Chronic Disease; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply; D008875:Middle Aged; D018616:Ultrasonography, Doppler, Duplex; D014647:Varicose Ulcer / Q000150:complications* / Q000601:surgery