Heavy uterine bleeding in adolescent caused by uterine vascular lesion: A case report
| Autor: | Tuan Quang Nguyen, Giang Hoang Phan, Thang Toan Vuong, Nha Ba Pham, Anh Duy Nguyen, Dao Thi Anh Le |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent Arteriovenous Malformations Obstetrics and gynaecology Pregnancy medicine Humans Vaginal bleeding medicine.diagnostic_test business.industry Uterus Vascular malformation Myometrium Obstetrics and Gynecology Arteriovenous malformation General Medicine Digital subtraction angiography medicine.disease Surgery Uterine Artery Internal hemorrhage medicine.anatomical_structure Urogenital Abnormalities Female Uterine Hemorrhage medicine.symptom business Artery |
| Zdroj: | International Journal of Gynecology & Obstetrics. 158:325-329 |
| ISSN: | 1879-3479 0020-7292 |
| Popis: | Objective To analyze a case of heavy uterine bleeding in adolescence caused by an arteriovenous malformation (AVM) in Hanoi Obstetrics and Gynecology Hospital, Vietnam. Methods We observed a case of a 14-year-old girl, without vaginal sexual intercourse experience, having heavy uterine bleeding caused by AVM. She underwent a laparoscopic operation at the hospital for vascular lesions in the uterine anterior wall, which caused an internal hemorrhage of 1500 ml blood loss into the peritoneal cavity. Three years later, this patient was hospitalized twice for massive vaginal bleeding. Results Results of ultrasound and magnetic resonance imaging indicated a uterine intramural mass with enlarged vessels connecting to the endometrial cavity. A pelvic digital subtraction angiography was performed and showed profuse bleeding from a ruptured branch of the left uterine artery. This artery was embolized at Bach Mai hospital and the bleeding was stopped. The patient had stable health and normal menstrual periods after 4 months of follow up. Conclusion Abnormal mass with dilated vessels in the myometrium in a patient experiencing heavy uterine bleeding is an exclusive sign of uterine vascular malformation and can be treated by angioembolization. |
| Databáze: | OpenAIRE |
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