Skip to main content
SpringerLink
Log in

Fatal Peritoneal Bleeding Following Embolization of a Carotid-Cavernous Fistula in Ehlers-Danlos Syndrome Type IV

  • CASE REPORT
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

We report the case of a 25-year-old woman treated for a spontaneous carotid-cavernous fistula in a context of Ehlers-Danlos syndrome type IV. Embolization with a transvenous approach was achieved without complications; however, the patient died 72 hr later of massive intraperitoneal bleeding. At autopsy, no lesion of the digestive arteries was identified. Possible causes of this bleeding are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Germain DP, Herrera-Guzman Y (2004) Vascular Ehlers-Danlos syndrome. Ann Genet 47:1–9

    PubMed  Google Scholar 

  2. Pepin M, Schwarze U, Superti-Furga A, Byers PH (2000) Clinical and genetic features of Ehlers-Danlos syndrome type IV, the vascular type. N Engl J Med 342:673–680

    Article  PubMed  CAS  Google Scholar 

  3. Solomon JA, Abrams L, Lichtenstein GR (1996) GI manifestations of Ehlers-Danlos syndrome. Am J Gastroenterol 91:2282–2288

    PubMed  CAS  Google Scholar 

  4. Horowitz MB, Purdy PD, Valentine RJ, Morrill K (2000) Remote vascular catastrophes after neurovascular interventional therapy for type 4 Ehlers-Danlos syndrome. AJNR Am J Neuroradiol 21:974–976

    PubMed  CAS  Google Scholar 

  5. Schievink WI (2004) Cerebrovascular involvement in Ehlers-Danlos syndrome. Curr Treat Options Cardiovasc Med 6:231–236

    PubMed  Google Scholar 

  6. Schievink WI, Piepgras DG, Earnest FT, Gordon H (1991) Spontaneous carotid-cavernous fistulae in Ehlers-Danlos syndrome type IV. Case report. J Neurosurg 74:991–998

    Article  PubMed  CAS  Google Scholar 

  7. Jansen O, Dorfler A, Forsting M, Hartmann M, von Kummer R, Tronnier V, et al. (1999) Endovascular therapy of arteriovenous fistulae with electrolytically detachable coils. Neuroradiology 41:951–957

    Article  PubMed  CAS  Google Scholar 

  8. Kanner AA, Maimon S, Rappaport ZH (2000) Treatment of spontaneous carotid-cavernous fistula in Ehlers-Danlos syndrome by transvenous occlusion with Guglielmi detachable coils. Case report and review of the literature. J Neurosurg 93:689–692

    Article  PubMed  CAS  Google Scholar 

  9. Schievink WI, Link MJ, Piepgras DG, Spetzler RF (2002) Intracranial aneurysm surgery in Ehlers-Danlos syndrome type IV. Neurosurgery 51:607–611

    Article  PubMed  Google Scholar 

  10. Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A, Chiras J,Merland JJ (1995) Cerebral dural arteriovenous fistulas: Clinical and angiographic correlation with a revised classification of venous drainage. Radiology 194:671–680

    PubMed  CAS  Google Scholar 

  11. Mattar SG, Kumar AG, Lumsden AB (1994) Vascular complications in Ehlers-Danlos syndrome. Am Surg 60:827–831

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neuroradiology, Hôpital Lariboisière, 2 rue Ambroise Paré, 75010, Paris, France

    Jurgita Usinskiene, Mikael Mazighi, Annouk Bisdorff & Emmanuel Houdart

Authors
  1. Jurgita Usinskiene
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mikael Mazighi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Annouk Bisdorff
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Emmanuel Houdart
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Emmanuel Houdart.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Usinskiene, J., Mazighi, M., Bisdorff, A. et al. Fatal Peritoneal Bleeding Following Embolization of a Carotid-Cavernous Fistula in Ehlers-Danlos Syndrome Type IV. Cardiovasc Intervent Radiol 29, 1104–1106 (2006). https://doi.org/10.1007/s00270-005-0331-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-005-0331-6

Keywords

Search

Navigation