title: Conservative therapy for surgically untreatable extensive arteriovenous malformation from the lower extremity to the pelvis with secondary consumptive coagulopathy.
abstract: We present a woman with surgically untreatable extended arteriovenous malformations (AVM) and consumptive coagulopathy, which had been controlled by conservative compression and anticoagulation therapies for 17 years. At age 13, she was diagnosed with extended AVM in the entire left leg and pelvis. At age 16, limited surgical resection of the enlarged superficial vein in the left calf was performed for persistent leg pain. One year later, anticoagulation therapy was performed for massive bleeding from hemorrhoids due to AVM and coagulopathy. Despite its intractability, her condition has been favorably controlled with conservative methods, including compression and anticoagulation therapies.
authors.affiliation: Department of Vascular Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan.
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Toru
authors.initials: T
authors.lastname: Iwahashi
authors.forename: Naozumi
authors.initials: N
authors.lastname: Saiki
authors.forename: Nobusato
authors.initials: N
authors.lastname: Koizumi
authors.forename: Toshiya
authors.initials: T
authors.lastname: Nishibe
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ogino
keywords: arteriovenous malformation; consumptive coagulopathy; vascular malformation
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