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Federación Mexicana de Ginecología y Obstetricia, A.C.

2018, Number 04

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Ginecol Obstet Mex 2018; 86 (04)

Congenital uterine arteriovenous malformation. A case of massive uterine hemorrhage

Ávila-Vergara MA, Araujo-Sánchez EM, Zatarain-Bayliss L, Camacho-Ureta A, Rodríguez-Angulo K, Vadillo-Ortega F

Language: Spanish
References: 37
Page: 272-280
PDF size: 2489.00 Kb.


ABSTRACT

Background: Uterine arteriovenous malformations are a rare condition, and the differential diagnosis is often not considered when massive uterine hemorrhage occurs.
Clinical case: A case of massive uterine hemorrhage is presented in a 27- year-old woman with medical history of vascular malformations. Imaging studies diagnosed uterine arteriovenous malformation (AVM), which by her medical history was considered congenital. The patient was treated with Gelfoam uterine arterial transcatheter vascular embolization (TAE), with the purpose of reducing the risks of hysterectomy and preserving fertility.
Conclusions: The uterine arteriovenous malformation is a possible cause of massive uterine hemorrhage; therefore, it should be considered in cases with a relevant background. There are treatment options that stop the hemorrhage and preserve the reproductive capacity. For this, it is necessary to have a multidisciplinary team that identifies the site of the defect and applies, in a targeted manner, transcatheter arterial embolization of the uterine vessels.


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