Diagnostic et traitement des malformations artério-veineuses utérines (MAVU) en 2011

Sanguin, Sophie; Lanta-Delmas, S.; Blanche, A. Le; Grardel-Chambenoit, E.; Merviel, Philippe; Gondry, J.; Fauvet, R.

doi:10.1016/j.gyobfe.2011.08.013

Cited by 30 publications

(19 citation statements)

References 34 publications

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“…Sometimes, pelvic pain is associated with vaginal bleeding [17]. Clinical examination can be unremarkable or with heavy vaginal bleeding [19]. Our reported case series presented the same classical pictures, i.e.…”

Section: Figure 6: Pelvic Ultrasound With Thick Endometrium and Incresupporting

confidence: 62%

A Case Series on Uterine Arteriovenous Malformations: A Life-Threatening Emergency in Young Women

Hammad

Nausheen

Malik

2020

Cureus

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Uterine arteriovenous malformation (AVM) is a rare condition, with few cases reported in the literature. Despite being rare, it is a potentially life-threatening condition in women of childbearing age. It should be considered in the differential diagnosis of prolonged or irregular vaginal bleeding, which, otherwise, can lead to critical complications ending up in severe morbidity and mortality. This case series describes four cases of young Asian women aged between 33 and 38 years who presented with irregular vaginal bleeding. Trans-abdominal ultrasound of the pelvis showed increased vascularity with multi-directional blood flow in the uterus. Magnetic resonance imaging (MRI) confirmed an arteriovenous malformation in all cases. All cases remained stable through the diagnostic journey. Embolization of the arteriovenous malformation was performed successfully in three cases and one case was managed conservatively on hormones. Later, two of them conceived within a year and had live births at term. The aim of reporting these cases is to share the common presentation of this condition and our experience in making the diagnosis and treatment of such patients. Although a few cases are reported world over, none was reported earlier from Pakistani Asian women.

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Section: Figure 6: Pelvic Ultrasound With Thick Endometrium and Incresupporting

confidence: 62%

A Case Series on Uterine Arteriovenous Malformations: A Life-Threatening Emergency in Young Women

Hammad

Nausheen

Malik

2020

Cureus

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“…In cases of menorrhagia the endometrium may be thickened, although unlike adult women endometrial biopsy is not required for the investigation of menorrhagia in an adolescent. Congenital uterine arteriovenous malformations are a very rare cause of menorrhagia in adolescents, and can be diagnosed on Doppler ultrasound or MRI [4]. …”

Section: Adolescent Menstrual Dysfunctionmentioning

confidence: 99%

Menstrual Disorders in Adolescents: Review of Current Practice

Williams

Creighton²

2012

Horm Res Paediatr

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Menstrual disorders are common in adolescent girls. Periods can be irregular, heavy and/or painful, especially in the first few years following menarche. Serious pathology is rare; however, menstrual dysfunction can have a significant effect on daily activities and result in school absence. There are many treatment options which are safe to use in adolescents, although the evidence for their use is extrapolated from adult data. We present a clinical review of the current practice, including management of girls with other medical problems and learning difficulties.

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“…In CDFI analysis, AVF appears as an intensely vascular tangle that exhibits a flow with high velocity and low resistance. However, there are limitations to the use of ultrasound in these circumstances as it is difficult to distinguish AVF from other diseases that are associated with pregnancy, including incomplete abortion and trophoblastic diseases, particularly in intrauterine embryo residues, residues and the myometrium, which can also exhibit rich blood flow signals (2,12–14). Therefore, in the present case, experienced ultrasound clinicians cross-referenced the CDFI findings with the patient's blood β-hCG, which were determined to be negative after testing 2 times, and she was diagnosed with uterine arteriovenous fistula.…”

Section: Discussionmentioning

confidence: 99%

Acquired uterine arteriovenous fistula due to a previous cornual pregnancy with placenta accreta: A case report

Guan

Wang

Zong

et al. 2017

Experimental and Therapeutic Medicine

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The present report describes a case of an acquired uterine arteriovenous fistula, which, following surgery and postoperative pathological analysis, was confirmed as a previous cornual pregnancy with placenta accreta. The patient was a 37-year-old woman (gravida 3; para 2) who had previously delivered two children via cesarean section (in 2004 and 2010, respectively) and also had a spontaneous abortion (2008). She had experienced continuous menstrual bleeding for ~20 days and had a history of prolonged (~30 days) vaginal bleeding 13 months earlier. Other pregnancy-related diseases were excluded following a negative serum human chorionic gonadotropin test, and the diagnosis was confirmed by Doppler ultrasonography. An emergency hysterectomy was subsequently performed due to the large amount of vaginal bleeding. Postoperative pathology confirmed the uterine arteriovenous malformation and demonstrated that the cause was a previous cornual pregnancy with placental implantation. The patient successfully recovered following the surgery.

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Diagnostic et traitement des malformations artério-veineuses utérines (MAVU) en 2011

Cited by 30 publications

References 34 publications

A Case Series on Uterine Arteriovenous Malformations: A Life-Threatening Emergency in Young Women

A Case Series on Uterine Arteriovenous Malformations: A Life-Threatening Emergency in Young Women

Menstrual Disorders in Adolescents: Review of Current Practice

Acquired uterine arteriovenous fistula due to a previous cornual pregnancy with placenta accreta: A case report

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