Guan Dongdong, Wang Jie, Zong Liju, Li Shan, Zhang You-Zhong
Department of Obstetrics and Gynecology, The Affiliated Hospital of Binzhou Medical University, Binzhou, Shandong 256603, P.R. China.
Department of Gynecology and Obstetrics, Qilu Hospital, Shandong University, Jinan, Shandong 250012, P.R. China.
Exp Ther Med. 2017 Jun;13(6):2801-2804. doi: 10.3892/etm.2017.4354. Epub 2017 Apr 18.
The present report describes a case of an acquired uterine arteriovenous fistula, which, following surgery and postoperative pathological analysis, was confirmed as a previous cornual pregnancy with placenta accreta. The patient was a 37-year-old woman (gravida 3; para 2) who had previously delivered two children via cesarean section (in 2004 and 2010, respectively) and also had a spontaneous abortion (2008). She had experienced continuous menstrual bleeding for 20 days and had a history of prolonged (30 days) vaginal bleeding 13 months earlier. Other pregnancy-related diseases were excluded following a negative serum human chorionic gonadotropin test, and the diagnosis was confirmed by Doppler ultrasonography. An emergency hysterectomy was subsequently performed due to the large amount of vaginal bleeding. Postoperative pathology confirmed the uterine arteriovenous malformation and demonstrated that the cause was a previous cornual pregnancy with placental implantation. The patient successfully recovered following the surgery.
本报告描述了一例获得性子宫动静脉瘘病例，经手术及术后病理分析，确诊为既往宫角妊娠合并胎盘植入。患者为一名37岁女性（孕3产2），曾分别于2004年和2010年经剖宫产分娩两胎，并有一次自然流产（2008年）。她经历了约20天的持续月经出血，13个月前有过长达约30天的阴道出血史。血清人绒毛膜促性腺激素检测阴性，排除了其他与妊娠相关的疾病，多普勒超声检查确诊。因阴道大量出血，随后进行了急诊子宫切除术。术后病理证实为子宫动静脉畸形，病因是既往宫角妊娠合并胎盘植入。患者术后顺利康复。
