scholarly journals Uterine Arteriovenous Malformation

Author(s):  
Yuksel Oguz ◽  
Fatma Gonca Eldem ◽  
Barbaros Cil ◽  
Cem Sanhal ◽  
Gülenay Gençosmanoğlu-Türkmen ◽  
...  

<p>We aimed to report a case of uterine arteriovenous malformation (UAVM) which was successfully treated by uterine artery embolization.</p><p>A multiparous 23-year-old woman referred to our clinic for 7 weeks scar pregnancy. On ultrasound, incisional 32×37 mm gestational sac surrounded with non-pulsatile high flow vessels was demonstrated. Uterine artery embolization was performed with Gelfoam by interventional radiology. The post-embolization arteriogram showed complete embolization of the UAVM with slow flow of contrast in both uterine arteries.</p><p>In clinical suspicion, UAVM can be diagnosed with Doppler ultrasonography and can be treated successfully with either uterine artery embolization or uterine surgery. UAVM is commonly diagnosed in women of childbearing age, angiographic embolization should be the firstly preferred treatment.</p>

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.


2015 ◽  
Vol 30 (7) ◽  
pp. 1599-1605 ◽  
Author(s):  
A. G. Vilos ◽  
G. A. Vilos ◽  
J. Hollett-Caines ◽  
C. Rajakumar ◽  
G. Garvin ◽  
...  

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