title: Vaginal vascular malformation mimicking pelvic organ prolapse requiring serial embolizations.
abstract: Vaginal vascular malformation (VVM) is rare. There are, in fact, less than ten cases reported to date. VVM often presents as a mass protruding from the vagina, mimicking pelvic organ prolapse (POP). It can coexist with POP, thereby usually exaggerating the severity of POP. We report a case of VVM in a premenopausal woman who presented as severe POP and urinary incontinence. The diagnosis was confirmed with computed tomography (CT) scan and angiography. The patient underwent conservative management with embolization. These procedures had to be repeated three times in 1.5 years due to lesion recurrence. In mitigation, conservative treatment eliminates the risks associated with surgery, e.g. massive hemorrhage and visceral injuries. It does, however, require a long course of treatment and follow-up.
authors: Department of Obstetrics and Gynecology, Serdang Hospital, Selangor, Malaysia.
authors: Leng Boi
authors: LB
authors: Pue
authors: Tsia-Shu
authors: TS
authors: Lo
authors: Pei-Ying
authors: PY
authors: Wu
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000175:diagnosis*; D014621:Vagina / Q000098:blood supply*; D054079:Vascular Malformations / Q000175:diagnosis* / Q000628:therapy