Halperin Reuvit, Schneider David, Maymon Ron, Peer Amir, Pansky Moti, Herman Arie
Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center, Zerifin 70300, Israel.
J Reprod Med. 2007 May;52(5):445-9.
Acquired uterine arteriovenous malformation is a rare but potentially life threatening condition and, as such, must be considered in the differential diagnosis of cases of abrupt, profuse vaginal bleeding following uterine curettage. The condition can easily be confused with retained products of conception and gestational trophoblastic disease.
One case was managed surgically, while 2 others were treated with selective embolization.
A positive medical history, the clinical presentation and features for the the ultrasonic appearance are the main features for the correct differential diagnosis and treatment of traumatic arteriovenous malformation resulting from uterine curettage.
获得性子宫动静脉畸形是一种罕见但可能危及生命的疾病,因此,在诊断刮宫术后突然出现大量阴道出血的病例时,必须将其纳入鉴别诊断。这种疾病很容易与妊娠物残留和妊娠滋养细胞疾病相混淆。
1例采用手术治疗,另外2例采用选择性栓塞治疗。
病史、临床表现及超声表现特征是正确鉴别诊断和治疗刮宫所致创伤性动静脉畸形的主要依据。