Open AccessIatrogenic exacerbation of pulmonary arteriovenous malformation in a patient with benign metastasizing leiomyoma
Author(s) -
CadieuxSimard MarieLie,
Hennessey Hooman,
Small David,
Daskalopoulou Stella S.,
Camlioglu Errol
Publication year - 2014
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.34
Subject(s) - medicine , radiology , shunt (medical) , exacerbation , arteriovenous malformation , leiomyoma , pleural effusion , cyst , ultrasound , surgery
We present a case of a middle‐aged woman with known benign metastasizing leiomyoma presenting with pleural effusion. After ultrasound‐guided drainage of the largest cyst was performed, the patient became hypoxemic. Chest computerized tomography ( CT ) showed a large tortuous vessel adjacent to the biggest cyst that had been drained. A 10‐fold increase in the diameter of this vessel was noted when compared to CT scan performed 24 h before the procedure. A 20% right‐to‐left shunt was observed on nuclear medicine shunt study. To our knowledge, this is the first reported case of metastasizing leiomyoma with coexistent pulmonary arteriovenous malformation.