Transarterial embolization of a bartholin cyst prior to rese
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The present case has been published in The Journal of Minimally Invasive Gynecology.

A 28-year-old female presented for treatment of a recurrent right Bartholin cyst. It had become infected three years prior and been treated via two rounds of incision and drainage, recurring after both. Currently there were no signs of infection but, as the cyst was large (7 cm 8 on exam) and painful, surgical excision was planned.

A preoperative pelvic magnetic resonance 9 angiogram confirmed a 4.9 cm right Bartholin cyst with extensive surrounding 10 vascularity and a feeding vessel arising from the right internal iliac artery. Given concern for intraoperative hemorrhage, preoperative transarterial embolization was performed. Under moderate sedation with fluoroscopic guidance, a 5F Sos Omni 0 catheter was advanced via the right common femoral artery into the right internal iliac artery.

From this position, rotational angiography and cone beam CT were 15 performed. A 2.8F Renegade HI-FLO microcatheter was advanced over a microwire into the distal aspect of the right internal pudendal artery. Embolization was then performed using 1.5 ml of a Gelfoam slurry until near stasis was achieved.

Later that day the patient underwent resection of the cyst, with estimated blood loss of 75 ml. No complications occurred.

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Dr. H●●●●h D●●●i
Dr. H●●●●h D●●●i Obstetrics and Gynaecology
Any cyst at external genitalia or vagina should not be taken lightly. Considerable unexpected hemorrhage can occur during surgical treatment
Oct 2, 2018Like1