LOGO
pl en

Ligation of internal iliac arteries in life-threatening bleeding in patients with uterine cervical cancer

Marek Grabiec1, Urszula Gręźlikowska2, Małgorzata Walentowicz1, Zbigniew Dzwoniarkiewicz2, Piotr Nowicki2

Affiliacja i adres do korespondencji
GIN ONKOL 2006, 4 (2), p. 125-130
Streszczenie

Massive bleeding from an extensive, exophytic tumour is a serious complication in treatment of advanced stages of cervical carcinoma. Ligation of the internal iliac artery is an effective, therapeutic procedure in controlling massive bleeding by process of tissue ischaemia. Although in a number of cases, surgical approach requires good anatomical knowledge and skills because of the highly deformed pelvic anatomy due to radiotherapy or to the recurrence of cancerous tissue. The aim of the study was to evaluate internal iliac artery ligation in patient with advanced cervical cancer with massive, life-threatening bleeding. The described patient’s case illustrates common clinical course of an advanced stage of a cervical cancer treated with internal iliac artery ligation, when the local methods of haemostasis are ineffective. The extensive cancer process extent unables introduction of haemostatics brachyteraphy. Massive bleeding and progressive anaemia could only be controlled by surgical internal iliac artery ligation. The above described proceeding enables administration of further treatment in a short period of time and improves the quality of patient's life.

Słowa kluczowe
internal iliac artery, artery ligation, cervical cancer, advanced stage carcinoma, haemorrhage