Kim I, Ha S Y, Yoon S A, Lee K W
Department of Pathology, Korea University Hospital, Seoul.
J Korean Med Sci. 1991 Jun;6(2):187-90. doi: 10.3346/jkms.1991.6.2.187.
Arteriovenous malformations of the uterus are extremely rare and they occur either in congenital or acquired forms. The most common clinical presentation is abnormal uterine bleeding, which may be aggravated by therapeutic curettage. Because of their rare incidence and clinical importance in management of patients, we report a case of arteriovenous malformation causing serious bleeding during a hysterectomy for uterine leiomyoma. The patient was a 47-year-old multiparous woman who had a history of chronic vaginal bleeding for one year. Numerous anomalous blood vessels draining into the right and left uterine arteries were found on the anterior wall of the uterus and parametrium.
子宫动静脉畸形极为罕见，可呈先天性或后天性。最常见的临床表现是子宫异常出血，治疗性刮宫可能会加重出血。鉴于其发病率低且在患者管理中具有临床重要性，我们报告一例子宫动静脉畸形在子宫肌瘤子宫切除术中导致严重出血的病例。患者为47岁经产妇，有一年慢性阴道出血史。在子宫前壁和子宫旁组织发现大量异常血管汇入左右子宫动脉。
