Transcatheter arterial embolization for the management of persistent metrorrhagia secondary to uterine arteriovenous malformation



Document title: Transcatheter arterial embolization for the management of persistent metrorrhagia secondary to uterine arteriovenous malformation
Journal: Revista médica del Hospital General de México
Database: PERIÓDICA
System number: 000439504
ISSN: 0185-1063
Authors: 1
2
2
2
1
1
1
Institutions: 1Hospital General de México, Departamento de Angiología y Cirugía Vascular, Ciudad de México. México
2Hospital Regional de Alta Especialidad de la Península de Yucatán, Departamento de Angiología y Cirugía Vascular, Mérida, Yucatán. México
Year:
Season: Jul-Sep
Volumen: 82
Number: 3
Pages: 155-157
Country: México
Language: Inglés
Document type: Artículo
Approach: Analítico, descriptivo
English abstract Uterine arteriovenous malformations (AVMs) are a rare pathology. They comprise a large spectrum of lesions that are classified in accordance with their content and flow. Most cases are diagnosed during an obstetric hemorrhagic event. Patients are usually asymptomatic until the occurrence of massive transvaginal bleeding. The endovascular approach is currently preferred and management will depend on the type of AVM, sclerotherapy, embolization, or surgery. We present the case of a healthy 22-year-old patient with a history of intrauterine curettage 2 months before her hospitalization due to a miscarriage. Begins with 20 days of evolution with abnormal vaginal bleeding in treatment with steroids without improvement. Ultrasound with the presence of AVM in the anterior wall of the uterus. The patient underwent endovascular embolization by transcatheter with microparticles with subsequent remission of metrorrhagia
Disciplines: Medicina
Keyword: Sistema cardiovascular,
Ginecología y obstetricia,
Cirugía,
Malformación arteriovenosa uterina,
Sangrado uterino,
Embolización arterial,
Transcateterismo
Keyword: Cardiovascular system,
Gynecology and obstetrics,
Surgery,
Uterine arteriovenous malformation,
Uterine bleeding,
Arterial embolization,
Transcatheter closure
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