Embolization of uterine arteriovenous malformation for treatment of menorrhagia

Sapna Patel, Sushma Potti, David Jaspan, Vani Dandolu

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: Uterine arteriovenous malformations are rare but potentially life-threatening conditions that should be suspected in unexplained severe vaginal bleeding. Case: A 28-year-old gravida 7, para 3 presented to the emergency department with heavy vaginal bleeding and passage of blood clots. In the emergency room, her hemoglobin dropped from 11.2 to 7.4 gm%. Transvaginal ultrasonographic scan showed a large vascular mass in the uterus measuring 2.6 cm in diameter with low resistance of flow within, concerning for arteriovenous malformation or an arteriovenous fistula. Digital subtraction arteriography confirmed the lesion. She underwent angiography and bilateral uterine artery embolization. Conclusion: The diagnosis of uterine arteriovenous malformation requires a high index of suspicion in the scenario of unexplained severe vaginal bleeding. Digital subtraction angiography is the gold standard for definitive diagnosis and allows immediate treatment by embolization.

Original languageEnglish (US)
Pages (from-to)229-232
Number of pages4
JournalArchives of Gynecology and Obstetrics
Volume279
Issue number2
DOIs
StatePublished - Feb 2009
Externally publishedYes

Fingerprint

Menorrhagia
Uterine Hemorrhage
Arteriovenous Malformations
Hospital Emergency Service
Angiography
Uterine Artery Embolization
Digital Subtraction Angiography
Arteriovenous Fistula
Uterus
Blood Vessels
Hemoglobins
Thrombosis
Therapeutics

Keywords

  • Arteriovenous malformation
  • Therapeutic embolization
  • Uterine aretriovenous malformation

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Embolization of uterine arteriovenous malformation for treatment of menorrhagia. / Patel, Sapna; Potti, Sushma; Jaspan, David; Dandolu, Vani.

In: Archives of Gynecology and Obstetrics, Vol. 279, No. 2, 02.2009, p. 229-232.

Research output: Contribution to journalArticle

Patel, Sapna ; Potti, Sushma ; Jaspan, David ; Dandolu, Vani. / Embolization of uterine arteriovenous malformation for treatment of menorrhagia. In: Archives of Gynecology and Obstetrics. 2009 ; Vol. 279, No. 2. pp. 229-232.
@article{ad1806f9b23d4b7fa32eea46c90836fc,
title = "Embolization of uterine arteriovenous malformation for treatment of menorrhagia",
abstract = "Background: Uterine arteriovenous malformations are rare but potentially life-threatening conditions that should be suspected in unexplained severe vaginal bleeding. Case: A 28-year-old gravida 7, para 3 presented to the emergency department with heavy vaginal bleeding and passage of blood clots. In the emergency room, her hemoglobin dropped from 11.2 to 7.4 gm{\%}. Transvaginal ultrasonographic scan showed a large vascular mass in the uterus measuring 2.6 cm in diameter with low resistance of flow within, concerning for arteriovenous malformation or an arteriovenous fistula. Digital subtraction arteriography confirmed the lesion. She underwent angiography and bilateral uterine artery embolization. Conclusion: The diagnosis of uterine arteriovenous malformation requires a high index of suspicion in the scenario of unexplained severe vaginal bleeding. Digital subtraction angiography is the gold standard for definitive diagnosis and allows immediate treatment by embolization.",
keywords = "Arteriovenous malformation, Therapeutic embolization, Uterine aretriovenous malformation",
author = "Sapna Patel and Sushma Potti and David Jaspan and Vani Dandolu",
year = "2009",
month = "2",
doi = "10.1007/s00404-008-0684-6",
language = "English (US)",
volume = "279",
pages = "229--232",
journal = "Archives of Gynecology and Obstetrics",
issn = "0932-0067",
publisher = "Springer Verlag",
number = "2",

}

TY - JOUR

T1 - Embolization of uterine arteriovenous malformation for treatment of menorrhagia

AU - Patel, Sapna

AU - Potti, Sushma

AU - Jaspan, David

AU - Dandolu, Vani

PY - 2009/2

Y1 - 2009/2

N2 - Background: Uterine arteriovenous malformations are rare but potentially life-threatening conditions that should be suspected in unexplained severe vaginal bleeding. Case: A 28-year-old gravida 7, para 3 presented to the emergency department with heavy vaginal bleeding and passage of blood clots. In the emergency room, her hemoglobin dropped from 11.2 to 7.4 gm%. Transvaginal ultrasonographic scan showed a large vascular mass in the uterus measuring 2.6 cm in diameter with low resistance of flow within, concerning for arteriovenous malformation or an arteriovenous fistula. Digital subtraction arteriography confirmed the lesion. She underwent angiography and bilateral uterine artery embolization. Conclusion: The diagnosis of uterine arteriovenous malformation requires a high index of suspicion in the scenario of unexplained severe vaginal bleeding. Digital subtraction angiography is the gold standard for definitive diagnosis and allows immediate treatment by embolization.

AB - Background: Uterine arteriovenous malformations are rare but potentially life-threatening conditions that should be suspected in unexplained severe vaginal bleeding. Case: A 28-year-old gravida 7, para 3 presented to the emergency department with heavy vaginal bleeding and passage of blood clots. In the emergency room, her hemoglobin dropped from 11.2 to 7.4 gm%. Transvaginal ultrasonographic scan showed a large vascular mass in the uterus measuring 2.6 cm in diameter with low resistance of flow within, concerning for arteriovenous malformation or an arteriovenous fistula. Digital subtraction arteriography confirmed the lesion. She underwent angiography and bilateral uterine artery embolization. Conclusion: The diagnosis of uterine arteriovenous malformation requires a high index of suspicion in the scenario of unexplained severe vaginal bleeding. Digital subtraction angiography is the gold standard for definitive diagnosis and allows immediate treatment by embolization.

KW - Arteriovenous malformation

KW - Therapeutic embolization

KW - Uterine aretriovenous malformation

UR - http://www.scopus.com/inward/record.url?scp=58149184015&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=58149184015&partnerID=8YFLogxK

U2 - 10.1007/s00404-008-0684-6

DO - 10.1007/s00404-008-0684-6

M3 - Article

VL - 279

SP - 229

EP - 232

JO - Archives of Gynecology and Obstetrics

JF - Archives of Gynecology and Obstetrics

SN - 0932-0067

IS - 2

ER -