双角子宫动静脉畸形导致反复严重子宫出血：一例报告
Arteriovenous malformation in a bicornuate uterus leading to recurrent severe uterine bleeding: a case report.
作者信息
Lipari Christopher W, Badawy Shawky Z A
机构信息
Department of Obstetrics and Gynecology, SUNY-Upstate Medical University, 750 East Adams Street, UH Suite 5142, Syracuse, NY 13210, USA.
出版信息
J Reprod Med. 2005 Jan;50(1):57-60.
BACKGROUND
Uterine arteriovenous malformations (AVMs) are rare entities that have been documented in a wide age range. Several treatment modalities have been highlighted in the literature. Uterine artery embolization appears to be effective therapy for select cases. Embolization provides an alternative to hysterectomy and the potential for future fertility. To our knowledge, only 1 other case report describes an AVM existing within a bicornuate uterus.
CASE
A 31-year-old, married, Caucasian woman with a history of infertility presented with intermittent uterine hemorrhage resulting in symptomatic anemia. The patient was diagnosed with a uterine AVM existing within the left horn of a bicornuate uterus. The patient underwent uterine artery embolization, with resolution of the vascular mass and resumption of regular menstrual flow.
CONCLUSION
AVM in a bicornuate uterus is rarely reported. Selective uterine artery embolization offers an effective modality of treatment.
背景
子宫动静脉畸形（AVM）是一种罕见的病症，在广泛的年龄范围内均有记录。文献中已强调了几种治疗方式。子宫动脉栓塞术似乎是某些病例的有效治疗方法。栓塞术为子宫切除术提供了一种替代方案，并保留了未来生育的可能性。据我们所知，仅有另一例病例报告描述了双角子宫内存在的AVM。
病例
一名31岁、已婚、白种女性，有不孕史，出现间歇性子宫出血，导致症状性贫血。该患者被诊断为双角子宫左角存在子宫AVM。患者接受了子宫动脉栓塞术，血管团消失，月经恢复正常。
结论
双角子宫内的AVM鲜有报道。选择性子宫动脉栓塞术提供了一种有效的治疗方式。
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