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Federación Mexicana de Ginecología y Obstetricia, A.C.

2018, Número 04

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Ginecol Obstet Mex 2018; 86 (04)


Malformación arteriovenosa uterina congénita. Presentación de un caso con hemorragia uterina masiva

Ávila-Vergara MA, Araujo-Sánchez EM, Zatarain-Bayliss L, Camacho-Ureta A, Rodríguez-Angulo K, Vadillo-Ortega F

Idioma: Español
Referencias bibliográficas: 37
Paginas: 272-280
Archivo PDF: 2489.00 Kb.


RESUMEN

Antecedentes: Las malformaciones arteriovenosas uterinas son raras y un diagnóstico diferencial poco considerado.
Caso clínico: Paciente de 27 años que acudió a urgencias debido a hemorragia uterina abundante y abrupta, con alteración del estado hemodinámico. Antecedentes personales: malformaciones en el sistema vascular. Con base en estudios de imagen se diagnosticó una malformación arteriovenosa uterina que, por sus antecedentes, se consideró congénita. Con el propósito de disminuir los riesgos de la histerectomía y conservar la fertilidad se indicó tratamiento conservador con embolización arterial transcatéter del sistema arteriovenoso uterino afectado, con gelfoam.
Conclusiones: La malformación arteriovenosa uterina es una posible causa de hemorragia uterina masiva; por tanto, debe considerarse en casos con antecedentes relevantes. Hay opciones de tratamiento que detienen la hemorragia y preservan la capacidad reproductiva. Para esto es preciso contar con un equipo multidisciplinario que identifique el sitio del defecto y aplique, de forma dirigida, la embolización arterial transcatéter de los vasos uterinos.


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