Pregnancy complicated by asymptomatic uterine arteriovenous malformation - A case report

被引:0
作者
Nasu, Kaei [1 ]
Yamaguchi, Mina [1 ]
Yoshimatsu, Jun [1 ]
Miyakawa, Isao [1 ]
机构
[1] Oita Univ, Fac Med, Dept Obstet & Gynecol, Oita 8795593, Japan
关键词
arteriovenous malformations; uterus; pregnancy complications; therapeutic embolization;
D O I
暂无
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
BACKGROUND: Uterine arteriovenous malformation (AVM) is a rare disease. Percutaneous arterial embolization has been performed for patients who wish to preserve their ability to conceive. CASE: A 27-year-old primigravida was admitted for treatment of threatened premature labor at 21 weeks of gestation. She had been diagnosed with asymptomatic uterine AVM 2 years previously. She had not received any treatment before conception. At 41 weeks of gestation she spontaneously delivered a healthy infant weighting 3,154 g. Excessive bleeding (1,600 mL) occurred, probably due to eruption of the AVM vessel at the time of Parturition. At 3 months postpartum, the patient underwent arterial embolization of AVM. CONCLUSION: The management of uterine AVM should be individualized, taking into account the patient's desire to maintain her fertility and the symptoms.
引用
收藏
页码:335 / 337
页数:3
相关论文
共 18 条
[1]  
ArredondoSoberon F, 1997, J REPROD MED, V42, P239
[2]   CONGENITAL PELVIC ARTERIOVENOUS-MALFORMATIONS - LONG-TERM FOLLOW-UP IN 2 CASES AND A REVIEW OF THE LITERATURE [J].
CALLIGARO, KD ;
SEDLACEK, TV ;
SAVARESE, RP ;
CARNEVAL, P ;
DELAURENTIS, DA .
JOURNAL OF VASCULAR SURGERY, 1992, 16 (01) :100-108
[3]   REPORT OF A SUCCESSFUL DELIVERY AFTER NONSURGICAL MANAGEMENT OF A CHORIOCARCINOMA-RELATED PELVIC ARTERIOVENOUS-FISTULA [J].
CHAPMAN, DR ;
LUTZ, MH .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1985, 153 (02) :155-157
[4]   Successful term pregnancy after selective arterial embolization of symptomatic arteriovenous malformation in the setting of gestational trophoblastic tumor [J].
Garner, EIO ;
Meyerovitz, M ;
Goldstein, DP ;
Berkowitz, RS .
GYNECOLOGIC ONCOLOGY, 2003, 88 (01) :69-72
[5]   Efficacy of embolization in traumatic uterine vascular malformations [J].
Ghai, S ;
Rajan, DK ;
Asch, MR ;
Muradali, D ;
Simons, ME ;
TerBrugge, KG .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2003, 14 (11) :1401-1408
[6]  
Goldberg RP, 2000, J REPROD MED, V45, P961
[7]   Embolization of a uterine arteriovenous malformation followed by a twin pregnancy [J].
Gopal, M ;
Goldberg, J ;
Klein, TA ;
Fossum, GT .
OBSTETRICS AND GYNECOLOGY, 2003, 102 (04) :696-698
[8]  
Hoffman M K, 1997, Obstet Gynecol Surv, V52, P736, DOI 10.1097/00006254-199712000-00004
[9]   GYNECOLOGIC VASCULAR ABNORMALITIES - DIAGNOSIS WITH DOPPLER US [J].
JAIN, KA ;
JEFFREY, RB ;
SOMMER, FG .
RADIOLOGY, 1991, 178 (02) :549-551
[10]   Diagnosis and management of uterine arterio-venous malformations [J].
Nicholson, AA ;
Turnbull, LW ;
Coady, AM ;
Guthrie, K .
CLINICAL RADIOLOGY, 1999, 54 (04) :265-269