Arteriovenous malformations of the uterus

Cura, Marco; Martínez, N.; Cura, A.; Dalsaso, Timothy; El-Merhi, Fadi

doi:10.1080/02841850903008792

Cited by 96 publications

(98 citation statements)

References 56 publications

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“…The typical finding on Color Doppler ultrasonography is a tangle of tortuous vessels with a multidirectional, high-velocity and turbulent flow. Although contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI) can be used, conventional angiography is the goldstandard technique in diagnosis [10,11]. Differential diagnosis includes retained products of conception, hemangiomas, varicosities, uterine sarcoma, and trophoblastic disease [8].…”

Section: Discussionmentioning

confidence: 99%

Sonographic features and management options of uterine arteriovenous malformation. Six cases report

et al. 2015

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Uterine arteriovenous malformation (AVM), an extremely rare condition, is defined as an abnormal connection between artery and vein. Although the pelvis is a common site for AVM, the uterus is involved occasionally and the true incidence is unknown. The objective of this study was to discuss diagnostic features and management options of AVMs. In this paper six cases of AVMs have been reported with a review of diagnosis and management options.

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Section: Discussionmentioning

confidence: 99%

Sonographic features and management options of uterine arteriovenous malformation. Six cases report

et al. 2015

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“…5 However, in view of chances of profuse and potentially life threatening haemorrhage; it cannot be ignored and needs to be listed as an important differential diagnosis in women of reproductive age with unexplained vaginal bleeding and menorrhagia.…”

Section: Discussionmentioning

confidence: 99%

“…5 Life threatening haemorrhage can result from trauma, surgical intervention or pre-existing pathological uterine process. Clinical presentation of Uterine AVMs in a pregnant patient or postpartum period may overlap with retained products of conception, postpartum endometritis and gestational trophoblastic disease.…”

Section: Introductionmentioning

confidence: 99%

Uterine arteriovenous malformation-beyond surgery: a case series

Pankar¹,

Indusekhar²,

Desai³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Uterine arteriovenous malformations (AVM) are a rare entity, presenting in women of reproductive age. The presentation may vary with bleeding being the chief presenting symptom. Though traditionally hysterectomy has been a definitive form of treatment, trans-catheter embolization is being considered as a good treatment option. We present three cases with uterine AVM who presented with heavy bleeding per vaginam. Three patients of reproductive age group (29-33 years) presented with heavy bleeding per vaginam from January 2017- May 2017. Two had previous miscarriages for which curettage was done and one had undergone a Caesarean section previously. Diagnosis of uterine AVM was made by ultrasound-grey scale, colour Doppler, followed by MRI. All patients underwent trans-catheter angiogram followed by selective embolization of the AVM with n-BCA (n- Butyl Cyanoacrylate) and polyvinyl alcohol (PVA) particles. Successful embolization was done in all of our patients with technical success rate of 100%. On follow-up, all patients are currently asymptomatic. Trans-catheter arterial embolization of uterine AVM is a simple and effective treatment alternative with less morbidity associated with anaesthesia and surgery in turn reducing hospital stay. It has to be considered in patients who need to preserve their fertility.

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“…There are case reports in literature which highlight Colour Doppler as the primary non-invasive diagnostic test for arteriovenous malformations. [14][15][16] Five cases of endometrial carcinoma were predicted by TUCD. All the cases exhibited a low resistance flow.…”

Section: Discussionmentioning

confidence: 99%

To compare trans-vaginal ultrasound colour doppler (TUCD) with hysteroscopy and guided endometrial biopsy in diagnosing abnormal uterine bleeding

Choudhary

Ahmad

Agarwal

2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONIn the women of child bearing age abnormal uterine bleeding (AUB) includes any change in menstrual period frequency, duration or amount of flow and intermenstrual bleeding.1 In postmenopausal women AUB includes vaginal bleeding of any cause 12 months or more after cessation of menses.2 Puberty and perimenopause are typically associated with anovulatory menstrual cycles. The immature hypothalamic-pituitary axis during puberty does not develop the necessary hormonal feedback to sustain the endometrium. Likewise, the decline of inhibin levels and rise in follicular stimulating hormone (FSH) levels reflect the loss of follicular activity and ABSTRACT Background: To compare trans-vaginal ultrasound Colour Doppler (TUCD) with hysteroscopy and guided endometrial biopsy in diagnosing abnormal uterine bleeding. Methods: A total of 50 consecutive and haemodynamically stable patients aged more than 40 years with abnormal uterine bleeding (AUB) were included in the study. Patients with pregnancy and probable cervical malignancy were excluded. All the patients were subjected to TUCD followed by hysteroscopic directed endometrial biopsy during the follicular phase of the menstrual cycle between 7 th and 11 th day to diagnose the underlying pathology. In postmenopausal female both TUCD and hysteroscopy were performed on any day. Results of both the procedures were compared. Results: The sensitivity and specificity of TUCD as compared to hysteroscopy in diagnosing polyp was found out to be 27.78% and 100%; for fibroid 100% and 84.4%; for endometrial hyperplasia 86.36% and 96.43%; for endometrial carcinoma 71.43% and 100%; and for endometrial atrophy 100% and 100%, respectively. After application of kappa statistics, the degree of agreement between the two diagnostic procedures was found to be 0.599 which was considered to be good. Conclusions: Conditions like fibroid, endometrial atrophy and cases of A-V malformation are better diagnosed with TUCD, while others like endometrial polyps, endometrial carcinoma are better detected on hysteroscopy. TUCD can diagnose most of the pathologies but not all, so it can be used as an adjunct to hysteroscopy to diagnose endometrial pathology, but can surely not replace hysteroscopy.

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Arteriovenous malformations of the uterus

Cited by 96 publications

References 56 publications

Sonographic features and management options of uterine arteriovenous malformation. Six cases report

Sonographic features and management options of uterine arteriovenous malformation. Six cases report

Uterine arteriovenous malformation-beyond surgery: a case series

To compare trans-vaginal ultrasound colour doppler (TUCD) with hysteroscopy and guided endometrial biopsy in diagnosing abnormal uterine bleeding

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