Multimodal approach in distinguishing and managing uterine arteriovenous malformation: A case report.

Autor: Sridhar S; Houston Methodist Research Institute, Department of Radiology, 6670 Bertner Ave, Houston, Texas, 77030, USA., Sukhovershin R; Houston Methodist Hospital, Department of Radiology, 6565 Fannin St, Houston, Texas, 77030, USA., Hancock JA; Houston Methodist Hospital, Department of Radiology, 6565 Fannin St, Houston, Texas, 77030, USA.; Houston Radiology Associated, 6565 Fannin St, Houston, Texas, 77030, USA.
Jazyk: angličtina
Zdroj: Radiology case reports [Radiol Case Rep] 2024 Nov 13; Vol. 20 (1), pp. 711-716. Date of Electronic Publication: 2024 Nov 13 (Print Publication: 2025).
DOI: 10.1016/j.radcr.2024.10.075
Abstrakt: Arteriovenous malformations (AVMs) are abnormal vascular connections bypassing the capillary system, categorized as acquired or congenital. Acquired uterine AVMs, often resulting from uterine trauma due to procedures like dilatation and curettage, can be life threatening, necessitating prompt diagnosis and management. Here we present a 34-year-old woman with a history of missed abortion and dilatation and curettage presenting with abnormal uterine bleeding 2 months postprocedure. Although initial transvaginal ultrasound suggested retained products of conception, several modalities were required to accurately diagnose uterine AVM with invasive angiography revealing the culprit vessel. Multimodal imaging approaches are crucial for accurate diagnosis and treatment. This case highlights the importance of prompt and precise management to prevent severe outcomes and maintain fertility, emphasizing the need for continued research to improve treatment strategies.
(© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze: MEDLINE