Large uterine arteriovenous malformation successfully treated with combined endovascular treatment and supracervical hysterectomy: A case report

被引:0
|
作者
Hamaguchi, Fumika [1 ]
Onishi, Yasuyuki [2 ]
Sagae, Yusuke [3 ]
Yamanoi, Koji [3 ]
Shimizu, Hironori [2 ]
Mandai, Masaki [3 ]
机构
[1] Nagahama Red Cross Hosp, Dept Gynecol & Obstet, Nagahama, Japan
[2] Kyoto Univ, Grad Sch Med, Dept Diagnost Imaging & Nucl Med, Kyoto, Japan
[3] Kyoto Univ, Grad Sch Med, Dept Gynecol & Obstet, 54 Shogoin Kawahara Cho, Kyoto 6068507, Japan
来源
CASE REPORTS IN WOMENS HEALTH | 2024年 / 42卷
关键词
Uterine arteriovenous malformation; Supracervical hysterectomy; Embolization; Balloon occlusion; Paradoxical embolization; CONTROL HEMORRHAGE; DIAGNOSIS;
D O I
10.1016/j.crwh.2024.e00630
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Uterine arteriovenous malformations (AVMs) are rare conditions that cause life-threatening bleeding. Endovascular treatment or total hysterectomy is performed to safely treat most AVMs. This case report describes a 54year-old female patient with a large uterine AVM, uterine bleeding, and cardiac overload that was difficult to manage but successfully treated. Total hysterectomy poses a high risk of hemorrhage due to significant uterine and internal iliac vein dilation; thus, embolization of feeding arteries was performed with N-butyl cyanoacrylate. However, a postembolization computed tomography scan detected paradoxical embolization of the liver, kidneys, and spleen. Therefore, supracervical hysterectomy was performed with preoperative coil embolization and intraoperative balloon occlusion of the feeding arteries. In this case, supracervical, not total, hysterectomy needed to be performed as the shunts were determined to be in the uterine corpus.
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页数:5
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