Malformations artérioveineuses endo-utérines acquises
| Autor: | Jean Levêque, B. Bruneau, E. Bauville, Karine Morcel, Vincent Lavoué, L. Vandenbroucke, P.-Y. Moquet |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine medicine Vaginal bleeding Embolization Pregnancy 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Obstetrics Gestational trophoblastic disease Obstetrics and Gynecology Metrorrhagia Arteriovenous malformation General Medicine medicine.disease Curettage 3. Good health Surgery Reproductive Medicine 030220 oncology & carcinogenesis Angiography medicine.symptom business |
| Zdroj: | Gynécologie Obstétrique & Fertilité. 39:469-472 |
| ISSN: | 1297-9589 |
| DOI: | 10.1016/j.gyobfe.2011.05.008 |
| Popis: | Uterine arteriovenous malformations (AVM) may be responsible for vaginal bleeding potentially life-threatening. They are most often acquired following uterine trauma (curettage, cesarean section, artificial delivery/uterus examination) in association with pregnancy or gestational trophoblastic disease. We report three cases of patients having uterine AVM after curettage. The diagnostic management is important to avoid differential diagnoses (intra-uterine retention, hemangioma, gestational trophoblastic disease). It is based on serum hCG measurement and Doppler ultrasound, then confirmed on dynamic angio-MRI, which tends to replace angiography as first-line. The therapeutic management in cases of symptomatic AVMs is mostly embolization which offers the possibility for childbearing. Current data on subsequent pregnancies is reassuring even if they remain limited. |
| Databáze: | OpenAIRE |
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