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CASE-LETTER Hughes-Stovin Syndrome Presenting With Hematuria his is a 48-year-old female patient who presented to the T hospital with gross hematuria and lower abdominal pain. She had no history of trauma and physical examination was normal. She underwent computed tomography of the abdomen and pelvis with intravenous contrast, which showed a large left internal iliac arteriovenous aneurysm compressing the bladder. Cystoscopy revealed diffuse petechial lesions throughout the bladder mucosa with mass effect, likely form the overlying pelvic aneurysm. Random biopsies of the bladder mucosa were normal. Angiography confirmed the presence of an internal iliac artery aneurysm connected to a large arteriovenous network (Figure 1, image A). Subsequently, the patient underwent a suc- cessful coiling of the internal iliac artery aneurysm. Incidentally, she had pulmonary nodules on the chest radiography which was followed by computed tomography showing the presence of multiple bilateral pulmonary artery aneurysms with partial thrombosis (Figure 1, images B and C). She denied any hemoptysis, cough or dyspnea on presentation and on follow-up examination several months later. Venous Doppler of her lower extremities showed no evidence of throm- bosis. Her hematuria subsided because she had coiling of the pelvic aneurysm. In 1958, Hughes and Stovin described 2
American Journal of the Medical Sciences – Wolters Kluwer Health
Published: Sep 1, 2015
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