case_images: PMC9893089_01
case_images: Pelvic angiography showing arterial aneurysms (arrows) with arteriovenous shunting, with early draining veins (arrowheads) in the lower vagina bilaterally.
case_images: 10.1177_03000605221150137-fig1.jpg
case_images: PMC9893089_01_10.1177_03000605221150137-fig1.jpg
case_images: fig1-03000605221150137
case_images: As vaginal bleeding recurred, angiography was performed, and arterial aneurysms with AVFs (Figure 1) fed by the internal pudendal arteries (Figure 2) were identified in the lower vagina, bilaterally.
case_images: Left internal iliac arteriography clearly showing an arterial aneurysm (arrow) with early draining veins (arrowheads) arising from the internal pudendal artery. Trans-arterial embolization with coils (VortX -18, 3 mm x 2.5 mm; Boston Scientific, Marlborough, MA, USA) was performed at both sides of the vagina by super-selective catheterization of the feeding vessels.
case_images: 10.1177_03000605221150137-fig2.jpg
case_images: PMC9893089_01_10.1177_03000605221150137-fig2.jpg
case_images: fig2-03000605221150137
case_images: As vaginal bleeding recurred, angiography was performed, and arterial aneurysms with AVFs (Figure 1) fed by the internal pudendal arteries (Figure 2) were identified in the lower vagina, bilaterally.
case_images: Follow-up angiography performed 3 months after trans-arterial embolization showing complete obliteration of the previous vascular lesions.
case_images: 10.1177_03000605221150137-fig3.jpg
case_images: PMC9893089_01_10.1177_03000605221150137-fig3.jpg
case_images: fig3-03000605221150137
case_images: Repeat angiography 3 months later revealed obliteration of the previous vascular lesions (Figure 3).