UTERINE VASCULAR LESION: SERIAL CASE STUDY, DIAGNOSIS AND TREATMENT

Lê Thị Anh Đào1,, Nguyễn Duy Ánh2
1 Hanoi Medical University
2 Hanoi Obstetrics and Pediatrics Hospital

Main Article Content

Abstract

Heavy uterine bleeding caused by anteriovenous malformation is rare but can be life-threatening. All three subjects from the case studies below experienced several episodes of massive bleeding. However, there were no signs of ordinary causes leading to such bleeding. Ultrasound 2D and colour doppler detected abnormal uterine vessels. Two cases were successfully treated by transcatheter embolization (TCE) while hysterectomy was used in the other case. Conclusions: TCE is a useful method to treat AVM and preserve fertility.

Article Details

References

1. Andra H. James (2016). Heavy menstrual bleeding: work-up and management. Hematology Am Soc Hematol Educ Program. 2016 Dec 2; 2016(1): 236–242
2. Divya Sridhar, Robert L. Vogelzang.(2018) Diagnosis and Treatment of Uterine and Pelvic Arteriovenous Malformations. Endovascular today. January 2018.
3. Abnormal uterine bleeding (2016), Williams Gynecology Chapter 8, third edition pp 180-202.
4. Daniel J. Yoon, Megan Jones, Jamal Al Taani, Catalin Buhimschi, Joshua D. Dowell. (2016) A Systematic Review of Acquired Uterine Arteriovenous Malformations: Pathophysiology, Diagnosis, and Transcatheter Treatment . Am J Perinatol Rep 2016;6:e6–e14.
5. Abhishek Vijayakumar, Amruthashree Srinivas, Babitha Moogali Chandrashekar. (2013) Uterine Vascular Lesions. Rev Obstet Gynecol. 2013;6(2):69-79.
6. ACOG (2013) Management of Acute Abnormal Uterine Bleeding in Nonpregnant Reproductive-Aged Women, number 557.
7. Shu-Qin Chen, Hong-Ye Jiang, Jin-Bo Li, Li Fan, Ming-Juan Liu, Shu-Zhong Yao (2013). Treatment of uterine arteriovenous malformation by myometrial lesion resection combined with artery occlusion under laparoscopy: a case report and literature review. European journal of Obstetrics and Gynecology and Reproductive Biology 169(2013) 172-176.
8. Mamoru Morikawa, Takashi Yamada, Hideto Yamada, Hisanori Minakami,(2006) Effect of GonadotropinReleasing Hormone Agonist on a Uterine Arteriovenous Malformation. Obstet Gynecol 2006 Sep; 108 (3 Pt 2):751-3