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Federación Mexicana de Ginecología y Obstetricia, A.C.

2018, Number 03

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Ginecol Obstet Mex 2018; 86 (03)

Uterine arteriovenous malformation: an alternative for conservative management. Case report and literature review

Fugarolas-Marín J, Hernández-Mendieta B, Olguín-Cruces VA, Rosales-Ortiz S

Language: Spanish
References: 21
Page: 208-216
PDF size: 481.51 Kb.


ABSTRACT

Background: Uterine arteriovenous malformation (AVM) are a rare condition with approximately 100 cases reported in literature. This pathologic change affects women´s emotional and physical con- dition, showing as difficult control abnormal uterine bleeding. Early diagnosis and proper treatment can lead to morbimortality reduction and better prognosis.
Clinical case: We present the case of a female 22 years old, diagnosed with a uterine AVM by hysteroscopy and ultrasound. Management were initially done with selective progesterone receptor modulator due to the fertility desire, without good response. A fistulectomy was realized with an innovating technique involving the use of Doppler ultrasound to guide de procedure limited to the affected area, preserving healthy tissue with a successful response.


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