Successful use of transcatheter embolisation in an emergent life-threatening situation of bleeding from uterine arteriovenous malformation.
作者信息
Singh Chanchal, Gupta Mohit, Tripathi Reva, Tyagi Sanjay
机构信息
Department of Obstetrics and Gynaecology, Maulana Azad Medical College, New Delhi, India.
出版信息
BMJ Case Rep. 2013 Apr 18;2013:bcr2013008730. doi: 10.1136/bcr-2013-008730.
Abstract
A 27-year-old G3P1 presented to the gynaecology emergency department with heavy vaginal bleeding for 16 days. Transvaginal ultrasound showed vascular cystic spaces in the myometrium raising a suspicion of choriocarcinoma. However, β-human chorionic gonadotrophin (β-hCG) was negative in both the urine and serum. Angiography confirmed the rarer diagnosis of uterine arteriovenous malformation (AVM). Successful abolition of the AVM was achieved by transcatheter embolisation with sequential use of polyvinyl alcohol particles, gel foam pledgets and platinum coils.
摘要
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