Journal of Developmental Medicine(Electronic Version)  2017, Vol. 5 Issue (2): 105-109 DOI: |
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| Uterine arteriovenous malformation: a case report and review of the literatures |
| LIAO De-hua,SONG Xiao-lei, XIE Mei-qing
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| Department of Gynecology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangdong, Guangzhou 510030, China |
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Abstract Objective To explore the clinical characteristics, diagnosis and treatment methods of uterine arteriovenous malformation. Methods A woman who complained repeated vaginal bleeding for four months was admitted to Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University in April, 2016. The diagnosis and treatment of this case were analyzed. Relevant literatures were reviewed to analyze the etiology, clinical manifestations, examination and treatment of uterine arteriovenous malformation. Results A 37-year-old woman presented repeated vaginal bleeding for four months after curettage for missed abortion at the 8+ weeks of pregnancy. An anechoic area of 45 mm×42 mm with rich blood flow was detected by ultrasound. CT scan showed arterial enhancement in the lesion of right front wall of the uterine, suggesting uterine arteriovenous malformation. Selective uterine artery embolization was performed for the patient. The menstruation recovered as usual after 8 weeks from discharged. According to the literatures, vaginal bleeding was a common clinical symptom of uterine arteriovenous malformation. Color Doppler ultrasound was important examination, while MRI and CT could help to diagnose in some cases. Angiography was the golden standard. The treatment regimen should be individualized. Close follow-up, compressing hemostasis by placement of intrauterine Folley balloon, medicine therapy, embolization of uterine artery, ligation of uterine artery, uterine hysterectomy and other treatment could be considered according to different conditions. Conclusions Uterine arteriovenous malformation should be considered for women with acute serious vaginal bleeding. Early diagnosis and treatment individually can improve prognosis.
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Received: 20 November 2016
Published: 17 January 2018
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