Successful Treatment of Uterine Arteriovenous Malformation with Percutaneous Embolization

Objective: Uterine arteriovenous malformation (AVM) is a rare condition and can be life-threatening if not managed properly. We report a case that was diagnosed by typical ultrasound imaging and treated successfully with uterine arterial embolization. Case Report: A 28-year-old female, gravida 4, pa...

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Main Authors: An-Chi Lin, Yao-Ching Hung, Li-Chia Huang, Tsan-Hung Chiu, Ming Ho
Format: Article
Language:English
Published: Elsevier 2007-03-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1028455908601096
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author An-Chi Lin
Yao-Ching Hung
Li-Chia Huang
Tsan-Hung Chiu
Ming Ho
author_facet An-Chi Lin
Yao-Ching Hung
Li-Chia Huang
Tsan-Hung Chiu
Ming Ho
author_sort An-Chi Lin
collection DOAJ
description Objective: Uterine arteriovenous malformation (AVM) is a rare condition and can be life-threatening if not managed properly. We report a case that was diagnosed by typical ultrasound imaging and treated successfully with uterine arterial embolization. Case Report: A 28-year-old female, gravida 4, para 3, abortus 1, presented with massive vaginal bleeding 19 days after a termination of pregnancy due to fetal anomaly. After a dilatation and curettage 3 years previously, typical ultrasound image findings and a declining pattern of serum β-hCG (human chorionic gonadotrophin), acquired AVM was highly suspected. The patient underwent bilateral uterine arterial embolization. Four weeks later, there was nearly complete resolution of the AVM and the patient's menstrual cycle was restored 6 weeks after embolization. Conclusion: AVM can be diagnosed at an early stage with the aid of history taking and ultrasound. Percutaneous embolotherapy is a safe and effective treatment for AVM, especially when fertility preservation is desired.
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spelling doaj.art-9bc2de5fddce4487a0ccfa6542388bf62022-12-21T18:59:26ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592007-03-01461606310.1016/S1028-4559(08)60109-6Successful Treatment of Uterine Arteriovenous Malformation with Percutaneous EmbolizationAn-Chi LinYao-Ching HungLi-Chia HuangTsan-Hung ChiuMing HoObjective: Uterine arteriovenous malformation (AVM) is a rare condition and can be life-threatening if not managed properly. We report a case that was diagnosed by typical ultrasound imaging and treated successfully with uterine arterial embolization. Case Report: A 28-year-old female, gravida 4, para 3, abortus 1, presented with massive vaginal bleeding 19 days after a termination of pregnancy due to fetal anomaly. After a dilatation and curettage 3 years previously, typical ultrasound image findings and a declining pattern of serum β-hCG (human chorionic gonadotrophin), acquired AVM was highly suspected. The patient underwent bilateral uterine arterial embolization. Four weeks later, there was nearly complete resolution of the AVM and the patient's menstrual cycle was restored 6 weeks after embolization. Conclusion: AVM can be diagnosed at an early stage with the aid of history taking and ultrasound. Percutaneous embolotherapy is a safe and effective treatment for AVM, especially when fertility preservation is desired.http://www.sciencedirect.com/science/article/pii/S1028455908601096arteriovenous malformationcolor Doppler ultrasoundembolization
spellingShingle An-Chi Lin
Yao-Ching Hung
Li-Chia Huang
Tsan-Hung Chiu
Ming Ho
Successful Treatment of Uterine Arteriovenous Malformation with Percutaneous Embolization
Taiwanese Journal of Obstetrics & Gynecology
arteriovenous malformation
color Doppler ultrasound
embolization
title Successful Treatment of Uterine Arteriovenous Malformation with Percutaneous Embolization
title_full Successful Treatment of Uterine Arteriovenous Malformation with Percutaneous Embolization
title_fullStr Successful Treatment of Uterine Arteriovenous Malformation with Percutaneous Embolization
title_full_unstemmed Successful Treatment of Uterine Arteriovenous Malformation with Percutaneous Embolization
title_short Successful Treatment of Uterine Arteriovenous Malformation with Percutaneous Embolization
title_sort successful treatment of uterine arteriovenous malformation with percutaneous embolization
topic arteriovenous malformation
color Doppler ultrasound
embolization
url http://www.sciencedirect.com/science/article/pii/S1028455908601096
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AT lichiahuang successfultreatmentofuterinearteriovenousmalformationwithpercutaneousembolization
AT tsanhungchiu successfultreatmentofuterinearteriovenousmalformationwithpercutaneousembolization
AT mingho successfultreatmentofuterinearteriovenousmalformationwithpercutaneousembolization