Volume 11, Issue 2 (4-2013)                   IJRM 2013, 11(2): 159-0 | Back to browse issues page

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Chen Y, Wang G, Xie F, Wang B, Tao G, Kong B. Embolization of uterine arteriovenous malformation. IJRM 2013; 11 (2) :159-0
URL: http://ijrm.ir/article-1-382-en.html
1- Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan 250012, China
2- Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan 250012, China , wangguoy@sdu.edu.cn
3- Department of Interventional Radiology, Qilu Hospital of Shandong University, Jinan 250012, China
4- Department of Ultrasonography, Qilu Hospital of Shandong University, Jinan 250012, China
Abstract:   (11443 Views)
Background: Uterine arteriovenous malformation is a rare but potential life-threatening source of bleeding. A high index of suspicion and accurate diagnosis of the condition in a timely manor are essential because instrumentation that is often used for other sources of uterine bleeding can be lead to massive hemorrhage.
Case: We describe here a case of uterine arteriovenous malformation. A 32-year-old woman presented abnormal vaginal bleeding following the induced abortion. A diagnosis of uterine arteriovenous malformation made on the basis of Doppler ultrasonraphy was confirmed through pelvic angiography. The embolization of bilateral uterine arteries was performed successfully.
Conclusion: Uterine arteriovenous malformation should be suspected in patient with abnormal vaginal bleeding, especially who had the past medical history incluing cesarean section, induced abortion, or Dillation and Curethage and so on. Although angiography remains the gold standard, Doppler ultrasonography is also a good noninvasive technique. The transcatheter uterine artery embolization offers a safe and effective treatment.
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Type of Study: Original Article |

1. Diwan RV, Brennan JN, Selim MA, McGrew TL, Rashad FA, Rustia MU, et al. Sonographic diagnosis of arteriovenous malformation of the uterus and pelvis. J Clin Ultrasound 1983; 11: 295-298. [DOI:10.1002/jcu.1870110512]
2. Huang MW, Muradali D, Thurston WA, Burns PN, Wilson SR. Uterine arteriovenous malformations: gray-scale and Doppler US features with MR imaging correlation. Radiology 1998; 206: 115-123. [DOI:10.1148/radiology.206.1.9423660]
3. Majmudar B, Ghanee N, Horowitz IR, Graham D. Uterine arteriovenous malformation necessitating hysterectomy with bilateral salpingo-oophorectomy in a young pregnant patient. Arch Pathol Lab Med 1998; 122: 842-845.
4. Manolitsas T, Hurley V, Gilford E. Uterine arteriovenous malformation-a rare cause of uterine haemorrhage. Aust N Z J Obstet Gynaecol 1994; 34: 197-199. [DOI:10.1111/j.1479-828X.1994.tb02691.x]
5. Abu Musa A, Hata T, Hata K, Kitao M. Pelvic arteriovenous malformation diagnosed by color flow Doppler imaging. AJR Am J Roentgenol 1989; 152: 1311-1312. [DOI:10.2214/ajr.152.6.1311]
6. Meilstrup JW, Fisher ME. Women's health case of the day. Uterine arteriovenous malformation. AJR Am J Roentgenol 1994; 162: 1457-1458. [DOI:10.2214/ajr.162.6.8192024]
7. Ghosh TK. Arteriovenous malformation of the uterus and pelvis. Obstet Gynecol 1986; 68: 40S-43S.
8. Palmaz JC, Newton TH, Reuter SR, Bookstein JJ. Particulate intraarterial embolization in pelvic arteriovenous malformations. AJR Am J Roentgenol 1981; 137: 117-122. [DOI:10.2214/ajr.137.1.117]
9. Beller U, Rosen RJ, Beckman EM, Markoff G, Berenstein A. Congenital arteriovenous malformation of the female pelvis: a gynecologic perspective. Am J Obstet Gynecol 1988; 159: 1153-1160. [DOI:10.1016/0002-9378(88)90435-8]
10. Vogelzang RL, Nemcek AA, Jr., Skrtic Z, Gorrell J, Lurain JR. Uterine arteriovenous malformations: primary treatment with therapeutic embolization. J Vasc Interv Radiol 1991; 2: 517-522. [DOI:10.1016/S1051-0443(91)72234-3]
11. Hoffman MK, Meilstrup JW, Shackelford DP, Kaminski PF. Arteriovenous malformations of the uterus: an uncommon cause of vaginal bleeding. Obstet Gynecol Surv 1997; 52: 736-740. [DOI:10.1097/00006254-199712000-00004]
12. Grivell RM, Reid KM, Mellor A. Uterine arteriovenous malformations: a review of the current literature. Obstet Gynecol Surv 2005; 60: 761-767. [DOI:10.1097/01.ogx.0000183684.67656.ba]
13. Torres WE, Sones PJ Jr, Thames FM. Ultrasound appearance of a pelvic arteriovenous malformation. J Clin Ultrasound 1979; 7: 383-385. [DOI:10.1002/jcu.1870070514]
14. Ginsberg NA, Hammer R, Parihk S, Tamura R, Sabbagha RE. Arteriovenous malformation of the uterus associated with a missed abortion. Ultrasound Obstet Gynecol 1994; 4: 235-237. [DOI:10.1046/j.1469-0705.1994.04030235.x]
15. Mungen E. Vascular abnormalities of the uterus: have we recently over-diagnosed them? Ultrasound Obstet Gynecol 2003; 21: 529-531.
16. Kido A, Togashi K, Koyama T, Ito H, Tatsumi K, Fujii S, et al. Retained products of conception masquerading as acquired arteriovenous malformation. J Comput Assist Tomogr 2003; 27: 88-92. [DOI:10.1097/00004728-200301000-00016]
17. Timmerman TD, Van den Bosch T, Peeraer K, Debrouwere E, Van Schoubroeck D, Stockx L, et al. Vascular malformations in the uterus: ultrasonographic diagnosis and conservative management. Eur J Obstet Gynecol Reprod Biol 2000; 92: 171-178. [DOI:10.1016/S0301-2115(00)00443-7]
18. Montanari L, Alfei A. P35.02: arteriovenous malformation of the uterus: successful pregnancy after medical treatment. Ultrasound Obstet Gynecol 2007; 30: 585.
19. O'Brien P, Neyastani A, Buckley AR, Chang SD, Legiehn GM. Uterine arteriovenous malformations: from diagnosis to treatment. J Ultrasound Med 2006; 25: 1387-1392; quiz 1394-1385.
20. Kwon JH, Kim GS. Obstetric iatrogenic arterial injuries of the uterus: diagnosis with US and treatment with transcatheter arterial embolization. Radiographics 2002;22:35-46. [DOI:10.1148/radiographics.22.1.g02ja0735]
21. Vedantham S, Goodwin SC, McLucas B, Mohr G. Uterine artery embolization: an underused method of controlling pelvic hemorrhage. Am J Obstet Gynecol 1997; 176: 938-948. [DOI:10.1016/S0002-9378(97)70624-0]
22. Lim AK, Agarwal R, Seckl MJ, Newlands ES, Barrett NK, Mitchell AW. Embolization of bleeding residual uterine vascular malformations in patients with treated gestational trophoblastic tumors. Radiology 2002; 222: 640-644. [DOI:10.1148/radiol.2223010035]
23. Hare WS, Holland CJ. Paresis following internal iliac artery embolization. Radiology 1983; 146: 47-51. [DOI:10.1148/radiology.146.1.6849068]
24. Fleming H, Ostor AG, Pickel H, Fortune DW. Arteriovenous malformations of the uterus. Obstet Gynecol 1989; 73: 209-214.
25. Milingos D, Doumplis D, Sieunarine K, Savage P, Lawson AD, Smith JR. Uterine arteriovenous malformation: fertility-sparing surgery using unilateral ligation of uterine artery and ovarian ligament. Int J Gynecol Cancer 2007; 17: 735-737. [DOI:10.1111/j.1525-1438.2007.00884.x]
26. Lin AC, Hung YC, Huang LC, Chiu TH, Ho M. Successful treatment of uterine arteriovenous malformation with percutaneous embolization. Taiwan J Obstet Gynecol 2007; 46: 60-63. [DOI:10.1016/S1028-4559(08)60109-6]
27. Bagga R, Verma P, Aggarwal N, Suri V, Bapuraj JR, Kalra N. Failed angiographic embolization in uterine arteriovenous malformation: a case report and review of the literature. Medscape J Med 2008;10:12.

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