Failure of estrogen and progesterone to affect protein synthesis by an established endometrial cell line

Abstract

The usual symptom of pelvic arteriovenous fistulas is aching pain in the lower quadrants which may radiate to the hip or thigh. The symptoms are generally mild. Frequently, there is a history of prior pelvic or abdominal surgery. Swelling of the extremity, thrills, bruits, or pulsatile masses may be present. The diagnosis is confirmed by arteriography. Despite the long interval between injury and diagnosis, the presence of cardiac decompensation is infrequent. Simple surgical removal of the fistulas suffices, but operation may be associated with significant blood loss. This patient presents the classic history for pelvic vascular fistula. She gave a history of multiple pelvic operations, the last being about 4 years prior to admission. There was a long interval until diagnosis. The presenting symptoms were minimal; however, the physical findings and aortogram were striking. She appears to have been successfully treated by conservative operation. Pelvic vascular abnormalities, especially within the uterus, are frequently noted in cases of choriocarcinoma.a Although these arteriographic changes are known to persist indefinitely after curative chemotherapy, it is doubtful that this patient could have successfully carried 3 term infants without prior evidence of vascular compromise. It is apparent that the repeatedly negative serum p-subunit HCG assays document the pregnancy test as false positive. In this case one must speculate as to the origin of pulmonary emboli from the remaining portions of the dilated right ovarian veins.