Treating a recurrent uterine arteriovenous malformation with uterine artery embolization. A case report.
ABSTRACT Uterine arteriovenous malformation is a rare condition. Uterine artery embolization offers the possibility of conservative management as opposed to the traditional hysterectomy. We report a case with recurrent uterine arteriovenous malformation confirmed by angiography and successfully treated with a second embolization procedure.
A 33-year-old woman presented with heavy vaginal bleeding. The diagnosis of uterine arteriovenous malformation was suspected on Doppler ultrasonography and confirmed by angiography. The first embolization procedure was performed using polyvinyl alcohol and steel coils. Recurrence was diagnosed 1 year later with the same imaging techniques. The second embolization procedure was performed using histoacryl. The patient remained asymptomatic at 1-year of follow-up.
Minimally invasive management is an option in recurrent uterine arteriovenous malformation.
- SourceAvailable from: Hae-Hyeog Lee[show abstract] [hide abstract]
ABSTRACT: To describe the outcome of patients with uterine arteriovenous malformations (AVMs) after uterine artery embolization (UAE). Retrospective case series. Tertiary center of a university hospital. Thirteen patients were referred to a tertiary medical center from primary care facilities with profuse uterine bleeding. Uterine artery embolization. Thirteen patients underwent UAE. Eleven patients had no additional vaginal bleeding, whereas two patients underwent hysterectomy after embolization. Twelve patients developed AVMs after induced abortions. One patient had a congenital uterine AVM. Based on the transfer notes, eight cases had incomplete abortions, three cases had dysfunctional uterine bleeding, one case had a molar pregnancy, and one case had a uterine AVM. Two cases underwent hysterectomy after UAE. One patient delivered a healthy baby after bilateral UAE. Uterine AVMs should be suspected in patients with abrupt, profuse vaginal bleeding and a medical history of an induced abortion. Primary physicians should consider uterine AVMs with such a medical history. A prompt diagnosis and therapy are essential for favorable outcomes in patients with uterine AVMs.Fertility and sterility 11/2010; 94(6):2330.e7-10. · 3.97 Impact Factor