Bleeding after interstitial brachytherapy for cervical cancer requiring embolization
Cervical cancer is the third most common cancer among women worldwide and is usually managed with chemoradiation in advanced disease. This case presents a 41-year-old female with locally advanced cervical cancer who underwent combination intracavitary/interstitial brachytherapy after chemoradiation...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2018-12-01
|
Series: | Radiology Case Reports |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043318302875 |
_version_ | 1818338332244967424 |
---|---|
author | Vanya Aggarwal, BS Anthony Chuprin, BS Abhimanyu Aggarwal, MD, MBA Harlan Vingan, MD Edwin Crandley, MD |
author_facet | Vanya Aggarwal, BS Anthony Chuprin, BS Abhimanyu Aggarwal, MD, MBA Harlan Vingan, MD Edwin Crandley, MD |
author_sort | Vanya Aggarwal, BS |
collection | DOAJ |
description | Cervical cancer is the third most common cancer among women worldwide and is usually managed with chemoradiation in advanced disease. This case presents a 41-year-old female with locally advanced cervical cancer who underwent combination intracavitary/interstitial brachytherapy after chemoradiation for local disease control. At her fifth brachytherapy session, one of the interstitial needles was malpositioned and lead to vascular injury with significant blood loss. She subsequently underwent emergent embolization of a branch of the right obturator artery with immediate clinical improvement and no complications. This is the first reported case of vascular injury from an interstitial brachytherapy needle that required arterial embolization for hemostasis. Keywords: Interstitial brachytherapy, Cervical cancer, Bleeding, Embolization |
first_indexed | 2024-12-13T15:09:25Z |
format | Article |
id | doaj.art-616acca211d44a85912c8931c60b338a |
institution | Directory Open Access Journal |
issn | 1930-0433 |
language | English |
last_indexed | 2024-12-13T15:09:25Z |
publishDate | 2018-12-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
spelling | doaj.art-616acca211d44a85912c8931c60b338a2022-12-21T23:40:55ZengElsevierRadiology Case Reports1930-04332018-12-0113611411145Bleeding after interstitial brachytherapy for cervical cancer requiring embolizationVanya Aggarwal, BS0Anthony Chuprin, BS1Abhimanyu Aggarwal, MD, MBA2Harlan Vingan, MD3Edwin Crandley, MD4George Washington University School of Medicine, 2300 I St NW, Washington, DC 20052, USAEastern Virginia Medical School, 825 Fairfax Ave, Norfolk, VA 23507, USAEastern Virginia Medical School, 825 Fairfax Ave, Norfolk, VA 23507, USA; Corresponding author.Eastern Virginia Medical School, 825 Fairfax Ave, Norfolk, VA 23507, USAEastern Virginia Medical School, 825 Fairfax Ave, Norfolk, VA 23507, USACervical cancer is the third most common cancer among women worldwide and is usually managed with chemoradiation in advanced disease. This case presents a 41-year-old female with locally advanced cervical cancer who underwent combination intracavitary/interstitial brachytherapy after chemoradiation for local disease control. At her fifth brachytherapy session, one of the interstitial needles was malpositioned and lead to vascular injury with significant blood loss. She subsequently underwent emergent embolization of a branch of the right obturator artery with immediate clinical improvement and no complications. This is the first reported case of vascular injury from an interstitial brachytherapy needle that required arterial embolization for hemostasis. Keywords: Interstitial brachytherapy, Cervical cancer, Bleeding, Embolizationhttp://www.sciencedirect.com/science/article/pii/S1930043318302875 |
spellingShingle | Vanya Aggarwal, BS Anthony Chuprin, BS Abhimanyu Aggarwal, MD, MBA Harlan Vingan, MD Edwin Crandley, MD Bleeding after interstitial brachytherapy for cervical cancer requiring embolization Radiology Case Reports |
title | Bleeding after interstitial brachytherapy for cervical cancer requiring embolization |
title_full | Bleeding after interstitial brachytherapy for cervical cancer requiring embolization |
title_fullStr | Bleeding after interstitial brachytherapy for cervical cancer requiring embolization |
title_full_unstemmed | Bleeding after interstitial brachytherapy for cervical cancer requiring embolization |
title_short | Bleeding after interstitial brachytherapy for cervical cancer requiring embolization |
title_sort | bleeding after interstitial brachytherapy for cervical cancer requiring embolization |
url | http://www.sciencedirect.com/science/article/pii/S1930043318302875 |
work_keys_str_mv | AT vanyaaggarwalbs bleedingafterinterstitialbrachytherapyforcervicalcancerrequiringembolization AT anthonychuprinbs bleedingafterinterstitialbrachytherapyforcervicalcancerrequiringembolization AT abhimanyuaggarwalmdmba bleedingafterinterstitialbrachytherapyforcervicalcancerrequiringembolization AT harlanvinganmd bleedingafterinterstitialbrachytherapyforcervicalcancerrequiringembolization AT edwincrandleymd bleedingafterinterstitialbrachytherapyforcervicalcancerrequiringembolization |