Uterine artery embolization for control of life-threatening hemorrhage at menarche: Brief report

被引：17
作者：
Bowkley, Charles W.
Dubel, Gregory J.
Haas, Richard A.
Soares, Gregory M.
Alm, Sun H.
机构：
[1] Brown Univ, Sch Med, Div Intervent Radiol, Providence, RI 02903 USA
[2] Brown Univ, Rhode Isl Hosp, Dept Diagnost Imaging, Providence, RI 02903 USA
来源：
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2007年 / 18卷 / 01期
关键词：
D O I：
10.1016/j.jvir.2006.10.015
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Uncontrolled acute menorrhagia resulting in hemodynamic instability in the adolescent is uncommon. We report a case of life-threatening menorrhagia upon first menses in a 12-year-old girl who was successfully treated with uterine artery embolization after failure of standard gynecologic and medical measures. Testing eventually revealed a coagulopathy that resulted from decreased plasminogen activator inhibitor-1 activity in combination with an immature hypothalamic-pituitary-ovarian axis. Coagulation disorders are more common in patients presenting with severe menorrhagia upon menarche. Interventional radiologists should be aware of such coagulation abnormalities and the differences between adults and adolescents when contemplating uterine artery embolization for adolescent patients.
引用
收藏
页码：127 / 131
页数：5
相关论文
共 15 条
[1]   HORMONAL PATTERN OF ADOLESCENT MENSTRUAL CYCLES [J].
APTER, D ;
VIINIKKA, L ;
VIHKO, R .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1978, 47 (05) :944-954
[2]   Bleeding disorders: A common cause of menorrhagia in adolescents [J].
Bevan, JA ;
Maloney, KW ;
Hillery, CA ;
Gill, JC ;
Montgomery, RR ;
Scott, JP .
JOURNAL OF PEDIATRICS, 2001, 138 (06) :856-861
[3]   ACUTE ADOLESCENT MENORRHAGIA [J].
CLAESSENS, EA ;
COWELL, CA .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1981, 139 (03) :277-280
[4]   MENSTRUAL BLOOD LOSS-A POPULATION STUDY - VARIATION AT DIFFERENT AGES AND ATTEMPTS TO DEFINE NORMALITY [J].
HALLBERG, L ;
HOGDAHL, AM ;
NILSSON, L ;
RYBO, G .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1966, 45 (03) :320-+
[5]   Thermal balloon endometrial ablation for management of acute uterine hemorrhage [J].
Nichols, CM ;
Gill, EJ .
OBSTETRICS AND GYNECOLOGY, 2002, 100 (05) :1092-1094
[6]  
NILSSON IM, 1977, ACTA MED SCAND, V201, P497
[7]   Hematological abnormalities in adolescent menorrhagia [J].
Oral E. ;
Çaǧdaş A. ;
Gezer A. ;
Kaleli S. ;
Aydin Y. ;
Öçer F. .
Archives of Gynecology and Obstetrics, 2002, 266 (2) :72-74
[8]   Age and the prevalence of bleeding disorders in women with menorrhagia [J].
Philipp, CS ;
Faiz, A ;
Dowling, N ;
Dilley, A ;
Michaels, LA ;
Ayers, C ;
Miller, CH ;
Bachmann, G ;
Evatt, B ;
Saidi, P .
OBSTETRICS AND GYNECOLOGY, 2005, 105 (01) :61-66
[9]   Pregnancy after uterine artery embolization for leiomyomata: The Ontario multicenter trial [J].
Pron, G ;
Mocarski, E ;
Bennett, J ;
Vilos, G ;
Common, A ;
Vanderburgh, L .
OBSTETRICS AND GYNECOLOGY, 2005, 105 (01) :67-76
[10]   Abnormal uterine bleeding in adolescents [J].
Quint, EH ;
Smith, YR .
JOURNAL OF MIDWIFERY & WOMENS HEALTH, 2003, 48 (03) :186-191
12