Kim Su Mi, Ahn Hee Young, Choi Min Jeong, Kang Yun Dan, Park Jin Wan, Park Choong Hak, Kim Jong Soo
Department of Obstetrics and Gynecology, Dankook University College of Medicine, Cheonan, Korea.
Department of Radiology, Dankook University College of Medicine, Cheonan, Korea.
Obstet Gynecol Sci. 2016 Nov;59(6):554-558. doi: 10.5468/ogs.2016.59.6.554. Epub 2016 Nov 15.
The incidence of uterine arteriovenous malformation (AVM) is rare. However, it is clinically significant in that it can cause life-threatening vaginal bleeding. We report a case of a large uterine AVM with positive serum beta-human chorionic gonadotropin. A presumptive diagnosis was made; a uterine AVM accompanied by, early pregnancy or retained product of conception. Because this uterine AVM was extensive, transcatheter arterial embolization of both uterine arteries and extra-uterine feeding arteries was performed. Three months after undergoing transcatheter arterial embolization, complete resolution of the uterine AVM was confirmed without major complication.
子宫动静脉畸形(AVM)的发病率很低。然而,它具有临床意义,因为它可导致危及生命的阴道出血。我们报告一例血清β-人绒毛膜促性腺激素阳性的大型子宫AVM病例。做出了初步诊断;为子宫AVM合并早期妊娠或妊娠物残留。由于该子宫AVM范围广泛,对双侧子宫动脉及子宫外供血动脉进行了经导管动脉栓塞术。经导管动脉栓塞术后三个月,确认子宫AVM完全消退,无重大并发症。