Entrar/Registro  
HOME SPANISH
 
Ginecología y Obstetricia de México
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Ginecología y Obstetricia de México >Year 2018, Issue 04


Ávila-Vergara MA, Araujo-Sánchez EM, Zatarain-Bayliss L, Camacho-Ureta A, Rodríguez-Angulo K, Vadillo-Ortega F
Congenital uterine arteriovenous malformation. A case of massive uterine hemorrhage
Ginecol Obstet Mex 2018; 86 (04)

Language: Español
References: 37
Page: 272-280
PDF: 2489.00 Kb.


Full text




ABSTRACT

Background: Uterine arteriovenous malformations are a rare condition, and the differential diagnosis is often not considered when massive uterine hemorrhage occurs.
Clinical case: A case of massive uterine hemorrhage is presented in a 27- year-old woman with medical history of vascular malformations. Imaging studies diagnosed uterine arteriovenous malformation (AVM), which by her medical history was considered congenital. The patient was treated with Gelfoam uterine arterial transcatheter vascular embolization (TAE), with the purpose of reducing the risks of hysterectomy and preserving fertility.
Conclusions: The uterine arteriovenous malformation is a possible cause of massive uterine hemorrhage; therefore, it should be considered in cases with a relevant background. There are treatment options that stop the hemorrhage and preserve the reproductive capacity. For this, it is necessary to have a multidisciplinary team that identifies the site of the defect and applies, in a targeted manner, transcatheter arterial embolization of the uterine vessels.


Key words: Congenital, Arteriovenous malformation, Uterine hemorrhage, Differential diagnosis, Hysterectomy, Uterine bleeding.


REFERENCIAS

  1. Lee BB. Critical issues in management of congenital vascular malformation. Ann Vasc Surg. 2004;18:380-392.

  2. Hand JL, Frieden EJ. Vascular birthmarks of infancy: resolving nosologic confusion. Am J Med Genet. 2002;108:257- 264.

  3. Lowe LH, Marchant TC, Rivard DC, Scherbel AJ. Vascular malformations: Classification and terminology the radiologist needs to know. Semin Roentgenol. 2012;47:106-117.

  4. Vijayakumar A, Srinivas A, Chandrashekar BM, Vijayakumar A. Uterine vascular lesions. Rev Obstet Gynecol. 2013;6:69-79.

  5. Grivell RM, Reid KM, Mellor A. Uterine arteriovenous malformations: a review of the current literature. Obstet Gynecol Surv. 2005;60: 761-767.

  6. Dubreil G, Loubat E. Aneurysme cirsoide de l´uterus. Ann Anat Pathol 1926;3:697-718.

  7. Kasznica J, Nisar N. Congenital vascular malformation of the uterus in a stillborn: a case report. Hum Pathol. 1995;26:240-241.

  8. Cura M, Martínez N, Cura A, Dalsaso TJ, Elmerhi F. Arteriovenous malformation of the uterus. Acta Radiol. 2009; 50(7): 823-829.

  9. Yoon DJ, Jones M, Taani JA, Buhimschi C, Dowell JD. A systematic review of acquired uterine arteriovenous malformations: Pathophysiology, diagnosis, and transcatheter treatment. Am J Perinatol Rep. 2016; 6:e6-e14.

  10. Lalitha N, Seetha P, Shanmugasundaram R, Rajendiran G. Uterine arteriovenous malformation: case series and literature review. J Obstet Gynaecol India. 2016;66:282- 286.

  11. Annaiah TK, Sreenivasan SK. Uterine arteriovenous malformations: clinical implications. The Obstetrician & Gynaecologist. 2015;17: 243-250. esta liga está incompleta es así: https://doi.org/10.1111/tog.12218

  12. Beller U, Rosen RJ, Beckman EM, Markoff G, Berenstein A. Congenital arteriovenous malformation of the female pelvis: a gynecologic perspective. Am J Obstet Gynecol. 1988;159:1153-1160.

  13. Laurian C, Leclef Y, Gigou F, Alzaoubi I, Riche MC, Melki JP, Cormier JM. Pelvic arteriovenous fistulas: therapeutic strategy in five cases. Ann Vasc Surg. 1990;4:1-9.

  14. Khan A, Muradali D. Imaging acute obstetric and gynecologic abnormalities. Semin Roentgenol. 2001; 36:165-172.

  15. Ishikawa T. Congenital arteriovenous malformations involving the pelvis and retroperitoneum: a case report. Angiology. 1979;30(1):70-74.

  16. Chien SC, et al. Immediate post-partum hemorrhage caused by rupture of uterine arteriovenous malformation. Aust NZ J Obstet Gynecol. 2007;47:252-257.

  17. Vaisnyte B, Vajauskas D, Palionis D, Nevidomskyte D, Misonis N, Bilkis V, Sucila M, Gutauskas M. Complicated congenital gluteal arteriovenous malformation with hemorrhage in pregnancy. Ann Vasc Surg. 2013;27:803.e7-e13.

  18. Kim TH, Lee HH. Presenting features of women with uterine arteriovenous malformations. Fertil Steril. 2010;94:2330e7-e10.

  19. Abu-Ghazza O, Hayes K, Chandraharan E, Belli AM. Vascular malformations in relation to obstetrics and gynaecology: diagnosis and treatment. The Obstetrician & Gynaecologist. 2010;12:87-93. http://onlinetog.org

  20. Yang JJ, Xiang Y, Wan XR, Yang XY. Diagnosis and management of uterine arteriovenous fistulas with massive vaginal bleeding. Int J Gynecol Obstet. 2005; 89: 114-119.

  21. Burrows PE. Vascular malformations involving the female pelvis. Semin Intervent Radiol. 2008;25:347-360.

  22. O´Brien P, Neyastani A, Buckley AR, Chang SD, Legiehn GM. Uterine arteriovenous malformations from diagnosis to treatment. J Ultrasound Med. 2006;25:1387-1392.

  23. Vilos AG, Vilos GA, Hollett-Caines J, Rajakumar C, Garvin G, Kozak R. Uterine artery embolization for uterine arteriovenous malformation in five women desiring fertility: pregnancy outcomes. Hum Reprod. 2015;30:1599-1605.

  24. Higgs ZC, Macafee DA, Braithwaite BD, Maxwell-Armstrong CA. The Seldinger technique: 50 years on. Lancet 2005;366:1407-1409.

  25. Hickey M, Fraser I. Human uterine vascular structures in normal and diseased states. Microsc Res Tech. 2003;60:377-389.

  26. Hickey M, Fraser IS. Clinical implications of disturbances of uterine vascular morphology and function. Obstet and Gynaecol. 2000;14:937-951. https://doi: 10.1053/ beog.2000.0136

  27. Wetzel-Strong SE, Detter MR, Marchuk DA. The pathobiology of vascular malformations: insights from human and model organism genetics. J Pathol. 2017;281-293.

  28. Rockman CB, Rosen RJ, Jacobowitz GR, Weiswasser J, Hofstee DJ,Fioole B, et al. Transcatheter embolization of extremity vascular malformations: the long-term success of multiple interventions. Ann Vasc Surg. 2003;17:417-423.

  29. Agarwal N, Chopra S, Aggarwal N, Gorsi U. Congenital uterine arteriovenous malformation presenting as postcoital bleeding: a rare presentation of a rare clinical condition. J Clin Imaging Sci. 2017;7:1-4

  30. Kim SM, Ahn HY, Choi MJ, Kang YD, Park WJ, Park CH, Kim JS. Uterine arteriovenous malformation with positive serum beta-human chorionic gonadotropin: Embolization of both uterine arteries and extra-uterine feeding arteries. Obstet Gynecol Sci. 2016;59:554-558.

  31. Sellers F, Palacios-Marqués A, Moliner B, Bernabeu U. Uterine arteriovenous malformation. BMJ Case Rep. 2013; pii: bcr2012008443.

  32. Houbballah R, Mallios A, Poussier B, Soury P, Fukui S, Gigou F, Laurian C. A new therapeutic approach to congenital pelvic arteriovenous malformations. Ann Vasc Surg. 2010;24:1102-9.

  33. Barral PA, Saeed-Kilani M, Tradi F, Dabadie A, Izaaryene J, Soussan J, Bartoli JM, Vidal V. Transcatheter arterial embolization with ethylene vinyl alcohol copolymer (Onyx) for the treatment of hemorrhage due to uterine arteriovenous malformations. Diagn Interv Imaging. 2016;98:415-421.

  34. Mallios A, Laurian C, Houbballah R, Gigou F, Marteau V. Curative treatment of pelvic arteriovenous malformation- An alternative strategy: transvenous intra-operative embolisation. Eur J Vasc Endovasc Surg. 2011; 41:548-553.

  35. Katsimanis E, Jackson JE, Freeman RM. A major congenital vascular malformation of the pelvis in pregnancy. BJOG 2002;109:469-472.

  36. Vogelzang RL, Nemcek AA Jr, Skrtic Z, Gorrell J, Lurain JR. Uterine arteriovenous malformations: primary treatment with therapeutic embolization. J Vasc Interv Radiol. 1991;2: 517-522.

  37. Soeda S, Kyozuka H, Suzuki S, Yasuda S, Nomura Y, Fujimori K. Uterine artery embolization for uterine arteriovenous malformation is associated with placental abnormalities in the subsequent pregnancy: two cases report. Fukushima J Med Sci. 2014;60(1):86-90.






>Journals >Ginecología y Obstetricia de México >Year 2018, Issue 04
 

· Journal Index 
· Links 






       
Copyright 2019