Fertility preserving surgical approach to uterine arteriovenous malformation
- Author:
Mirah D. Borja
1
;
Sheryl Ann B. Dela Cruz
1
;
German II D.C. Tan-Cardoso
1
Author Information
- Publication Type:Case Reports
- Keywords: abnormal uterine bleeding; uterine artery ligation; uterine arteriovenous malformation
- MeSH: Uterine Artery; Arteriovenous Malformations; Uterine Diseases; Ligation; Uterine Hemorrhage
- From: Philippine Journal of Obstetrics and Gynecology 2020;44(1):33-38
- CountryPhilippines
- Language:English
- Abstract: Arteriovenous malformations (AVM) are vascular disorders with a mixture of arterial, venous and small capillary-like channels with fistulous connections. Uterine arteriovenous malformations are rare cause of abnormal uterine bleeding with only a few reported cases. They may arise from pregnancy, miscarriage, previous cesarean section or other uterine surgery and gestational trophoblastic disease. Diagnosis can be made through angiography or doppler ultrasonography. Traditionally, uterine AVMs are treated with hysterectomy but with the advances in technology, minimally invasive conservative approaches such as radiologic arterial embolization or laparoscopic uterine artery ligation have become available. We present a case of a 29-year-old, G2P1 (1011) who had a three- month history of heavy, intermittent vaginal bleeding from uterine arteriovenous malformation after a miscarriage. Laparoscopic bilateral uterine artery occlusion, offered a minimally invasive treatment with high symptomatic effectiveness.
- Full text:fertility-preserving-surgical-approach-to-uterine-arteriovenous-malformation.pdf
