Use of three-dimensional power doppler sonography in the diagnosis of uterine arteriovenous malformation and follow-up after uterine artery embolization: Case report and brief review of literature

2014 ◽  
Vol 43 (5) ◽  
pp. 327-334 ◽  
Author(s):  
Thomas G. Tullius ◽  
Jason Robert Ross ◽  
Melanie Flores ◽  
Melhem Ghaleb ◽  
Sanja Kupesic Plavsic
2012 ◽  
Vol 1 (1-2) ◽  
Author(s):  
Thomas G. Tullius ◽  
Jason Robert Ross ◽  
Akwugo Eziefule ◽  
Melhem Ghaleb ◽  
Sanja Kupesic Plavsic

AbstractDelayed postpartum hemorrhage, defined as bleeding following delivery up to 6 weeks postpartum, is a risk following cesarean or vaginal delivery. Episodes most commonly occur between 8 and 14 days postpartum. Here, we present a case of a 24-year-old woman presenting with delayed postpartum hemorrhage 14 days after delivery, which later proved to be caused by left uterine artery hemorrhage. The hemorrhage was refractory to local treatment and required invasive measures to prevent hypotensive shock. In lieu of a hysterectomy, a unilateral uterine artery embolization (UAE) was performed to preserve fertility in this 24-year-old patient. Three-dimensional power Doppler ultrasonography was performed 3 weeks after UAE to assess the volume and vascularity of the pelvic structures. This case illustrates a viable intervention for women with postpartum hemorrhage who desire to preserve future fertility, as well as a method to detect structural and vascular changes after the treatment to evaluate their future fertility prospects.


2019 ◽  
Vol 7 (4) ◽  
pp. 531-534
Author(s):  
Jing Ouyang ◽  
Xia Wei ◽  
Siqin Yang ◽  
Yiru Shi ◽  
Shiqing Hu ◽  
...  

Objectives: The current study presented a fertility-preserving laparoscopic approach combined with hysteroscopy for the treatment of a uterine arteriovenous malformation (AVM) after a failed uterine artery embolization (UAE). Case Presentation: The patient was diagnosed with acquired uterine AVM and underwent a UAE, followed with the recurrence of massive vaginal bleeding. The computed tomography angiography (CTA) demonstrated AVM neovascularization and the patient profoundly desired to preserve her fertility. Results: The patient underwent a laparoscopic surgery combined with hysteroscopy during which the supply vessels of the AVM were obliterated and a 3-month GnRHa regimen was prescribed accordingly. The follow-up CTA was performed at postoperative day 3 and month 5. Both of the obtained images indicated the remission of the AVM. Thus, the patient remained asymptomatic during a 18-month follow-up after the operation. Conclusions: In general, the laparoscopic obliteration of the supply vessels of the uterine AVM could provide an alternative to hysterectomy in patients whose embolization attempt failed and thus had a fertility-preserving desire.


Rheumatology ◽  
2007 ◽  
Vol 46 (11) ◽  
pp. 1736-1736 ◽  
Author(s):  
G. Meenagh ◽  
E. Filippucci ◽  
T. Abbattista ◽  
P. Busilacchi ◽  
W. Grassi

2016 ◽  
Vol 35 (9) ◽  
pp. 2049-2052 ◽  
Author(s):  
Mohamed Ahmed Mostafa AboEllail ◽  
Mari Ishimura ◽  
Suraphan Sajapala ◽  
Kenta Yamamoto ◽  
Tamaki Tanaka ◽  
...  

2014 ◽  
Vol 1 (1) ◽  
pp. 47
Author(s):  
Chandrashekhar M. Gattani ◽  
Tejas P. Sadavarte ◽  
Shripad S. Kamble

<p>Uterine Artery Embolization (UAE) has become most effective and minimally invasive alternative treatment over the past many years, especially for women with symptomatic fibroids for whom conservation of uterus is important. Here we are reporting a case of an eighteen year old, unmarried female who presented with pain in lower abdomen and pelvis, menorrhagia and she also noticed gradually increasing lump in pelvis and lower abdomen.</p><p>After clinical examination, patient was referred for radiological investigations, initially ultrasonography was performed which revealed, a large sized posterior wall uterine fibroid measuring approx. 19 x 10 x 18 cm and it was further confirmed on MRI with contrast study. UAE was carried out in order to relieve the symptoms, reduce the size of fibroid and at the same time preserve the uterus. The procedure was uneventful after follow-up for 3 months, there was partial regression in the size of fibroid.</p>


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