Uterine Arteriovenous Malformations: A Review of the Current Literature

Grivell, Rosalie M; Reid, Kym M; Mellor, Amy

doi:10.1097/01.ogx.0000183684.67656.ba

Cited by 170 publications

(215 citation statements)

References 27 publications

Supporting

Mentioning

186

Contrasting

Unclassified

Order By: Relevance

“…In 18 patients (18%), haemorrhage due to AVM recurred after UAE, and in 17 patients (17%) recurrence of AVM occurred after treatment with UAE [1]. But, in some reports, trans-arterial UAE was not successful as a result of technical difficulties or the risk of complications [3].…”

Section: Discussionmentioning

confidence: 98%

Resolution of Uterine Arterio-Venous Malformation Followed by Uneventful Pregnancy after Administration of Gonadotropin Releasing Hormone Agonist Concomitantly with an Aromatase Inhibitor and Tranexamic Acid

Vilos¹

2017

Int J Womens Health Wellness

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 98%

Resolution of Uterine Arterio-Venous Malformation Followed by Uneventful Pregnancy after Administration of Gonadotropin Releasing Hormone Agonist Concomitantly with an Aromatase Inhibitor and Tranexamic Acid

Vilos¹

2017

Int J Womens Health Wellness

View full text Add to dashboard Cite

“…Grivell et al (2005) stated that with increased experience and the devel opment of embolization techniques and equipment, emboli zation should become the first choice for treatment in women of all age groups, not only those desiring future fer tility. Many cases of acquired uterine AVM are associated with uterine trauma such as obstetric procedures, and such cases typically undergo UAE with gelatin sponge particles.…”

Section: Discussionmentioning

confidence: 99%

“…CT and MRI are very useful in determining the size, extent, and vascularity of AVM and defining the involvement of adjacent organs (Gulati et al 2000). Digitalsubtraction angiography remains the gold standard for diagnosis, with the added advantage of allowing the options of embolization or balloon occlusion as preoperative treatment (Grivell et al 2005;Cura et al 2009). However, this is rarely performed for purely diagnostic pur poses, due to its invasive nature.…”

Section: Discussionmentioning

confidence: 99%

“…Methods for diagnosing uterine AVM include ultrasonography, CT, MRI, and angiography (Grivell et al 2005;Cura et al 2009). Gray-scale ultrasound findings for AVM include multiple anechoic structures with serpentine contours within the myometrium, while the addition of color Doppler provides diagnostic sensitivity and a more accurate, noninvasive method of investigation (Huang et al 1998).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Uterine Arteriovenous Malformation Formed in a Large Uterine Cervical Myoma

Soeda

Ushijima

Furukawa

et al. 2012

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

Arteriovenous malformation (AVM) can arise in various organs, particularly the brain, but it is rare in the uterus. Uterine AVM is potentially lethal and is generally associated with uterine trauma, such as dilatation and curettage, therapeutic abortion or uterine surgery. On the other hand, uterine myoma is the most common benign gynecological tumor, but uterine cervical myoma is rare and grows in the extraperitoneal space, with development of complex capillary networks within the tumor. Cervical myoma surgery is therefore a difficult operation with a risk of massive bleeding. We report herein a patient with uterine AVM formed within a large cervical myoma in a postmenopausal woman. The patient was a 55-year-old Japanese woman who complained of lower abdominal distension. Ultrasonography, computed tomography and magnetic resonance imaging showed an 18 × 20-cm uterine cervical tumor with dilatation of numerous vessels. Pelvic angiography was scheduled to provide accurate diagnosis and to minimize intraoperative blood loss. In fact, preoperative pelvic angiography allowed us to identify the true feeding artery and drainage veins. Occlusion of the feeding artery with a balloon device is effective in decreasing intraoperative bleeding. Abdominal total hysterectomy was performed as the surgical management of this uterine AVM. Prophylactic endovascular balloon occlusion of the ipsilateral internal iliac artery reduced the amount of hemorrhage during surgery, although blood transfusion was needed in our patient. In conclusion, preoperative embolosclerotherapy should be considered as a treatment option in patients with AVM present in a large uterine cervical myoma.

show abstract

“…Congenital AVM usually shows multiple communicating channels between the arteries and veins and may extend to extrauterine regions, whereas acquired post-traumatic AVM shows single fistulous communication between an artery and a vein, where it exhibits marked turbulence with high velocity. It shows low-resistant flow pattern on the arterial side and pulsatile venous flow signal at the venous side with multiple serpentine cyst-like lesions within the myometrium on a grayscale ultrasound [17,18].…”

Section: Cervical Nabothian Cysts (Fig 6)mentioning

confidence: 99%

Endosonography of benign myometrium cysts and cyst-like lesions

Youssef

2014

J Ultrasound

View full text Add to dashboard Cite

Introduction Many pathological causes are responsible for the sonographic presentation of myometrium cysts and cyst-like lesions, where the distinction between these etiologies is required. The aim of the work The current work is aimed at discerning between different etiologies of myometrium cysts and cyst-like lesions for an optimum management. Methodology In the course of daily practice of gynecological transvaginal ultrasound, 66 cases of myometrium cysts and cyst-like lesions have been discerned, where all were examined with endovaginal ultrasound using a multifrequency endocavitary probe having color Doppler capability. Results Adenomyosis uteri detected in 15 cases, invasive mole in 4 cases, congested arcuate veins in 20 cases, incidental cysts in 4 cases, cystic degeneration of myoma in 3 cases, C-section scar cysts and cyst-like lesions in 13 cases, interstitial ectopic pregnancy in 2 cases, incomplete abortion with congested myometrium vessels in 4 cases, and arteriovenous malformation in 1 case. The number of cases with cervical nabothian cysts was not considered since they were too frequent. Conclusion Endosonography is an important tool in differentiating between the various diseases that are responsible for benign myometrium cysts and cyst-like lesions, which are all important since some of them are visualized as serious clinical situations and others turn out to be of little clinical significance.Keywords Endosonography Á Myometrium Á Cysts Á Adenomyosis Riassunto Introduzione Molte patologie sono responsabili della presentazione ecografica di cisti del miometrio e di lesioni simil-cistiche ed è necessaria la distinzione tra le varie eziologie. Scopo del lavoro Scopo del lavoro è distinguere tra le diverse eziologie delle cisti del miometrio e delle lesioni simil-cistiche per una loro gestione ottimale. Materiali e metodi Durante la pratica quotidiana di ecografia transvaginale ginecologica sono stati riscontrati 66 casi di cisti del miometrio e di lesioni simil-cistiche, tutti sono stati esaminati con ecografia endovaginale con sonda endocavitaria multifrequenza e modulo Doppler. Risultati In 15 casi è stata rilevata adenomiosi dell'utero, in 4 casi mola invasiva, in 20 casi congestione venosa, in 4 casi riscontro incidentale di cisti, in 3 casi degenerazione cistica dei miomi, in 13 casi cicatrice cistica (CS) e lesioni simil-cistiche, in 2 casi gravidanza ectopica, in 4 casi aborto incompleto con vasi del miometrio congestionati e in 1 caso malformazioni artero-venose. I casi di cisti Naboth non sono stati considerati in quanto di troppo frequente riscontro. Conclusioni L'ecoendoscopia è uno strumento importante nella differenziazione delle varie malattie che sono responsabili della formazione di cisti benigne del miometrio come di lesioni simil-cistiche, alcune gravi, altre di scarsa rilevanza clinica.

show abstract

Uterine Arteriovenous Malformations: A Review of the Current Literature

Cited by 170 publications

References 27 publications

Resolution of Uterine Arterio-Venous Malformation Followed by Uneventful Pregnancy after Administration of Gonadotropin Releasing Hormone Agonist Concomitantly with an Aromatase Inhibitor and Tranexamic Acid

Resolution of Uterine Arterio-Venous Malformation Followed by Uneventful Pregnancy after Administration of Gonadotropin Releasing Hormone Agonist Concomitantly with an Aromatase Inhibitor and Tranexamic Acid

Uterine Arteriovenous Malformation Formed in a Large Uterine Cervical Myoma

Endosonography of benign myometrium cysts and cyst-like lesions

Contact Info

Product

Resources

About