Successful treatment of symptomatic arteriovenous malformation of the uterus using laparoscopic bipolar coagulation of uterine vessels.

作者信息

Wu Y C, Liu W M, Yuan C C, Ng H T

机构信息

Department of Obstetrics and Gynecology, Veteran General Hospital and National Yang-Ming University, Taipei, Taiwan, Republic of China.

出版信息

Fertil Steril. 2001 Dec;76(6):1270-1. doi: 10.1016/s0015-0282(01)02900-4.

OBJECTIVE

To report a case of symptomatic arteriovenous malformation (AVM) of the uterus that was successfully treated with laparoscopic bipolar coagulation of uterine vessels.

DESIGN

Case report.

SETTING

University-affiliated tertiary referral center.

PATIENT(S): A 66-year-old woman with symptomatic AVM of the uterus.

INTERVENTION(S): Laparoscopic bipolar coagulation of uterine vessels.

MAIN OUTCOME MEASURE(S): Clinical symptoms, color Doppler sonographic examination, and pelvic magnetic resonance imaging.

RESULT(S): Remarkable shrinkage of the lesion size, obvious decrease in all of the impedance measurements (pulsatility, resistance, velocity indexes [systolic/diastolic]), and freedom from symptoms.

CONCLUSION(S): This modality is a new alternative method for the management of patients with symptomatic AVM of the uterus who do not respond to conservative treatment.