Kondo W, Erzinger F L
Clin Exp Obstet Gynecol. 2016;43(4):602-605.
Uterine arteriovenous fistula (AVF) is a rare, but potentially life-threatening condition. Acquired fistulae may occur as a result of trauma or instrumentation, endometrial carcinoma, gestational trophoblastic disease, and intrauterine devices (IUDs). Herein the authors present the case of a 33-year-old woman with a uterine AVF developing after uterine perforation during the placement of a levonorgestrel IUD. The fistula was diagnosed using color Doppler ultrasonography and angiography and the treatment was conducted by minimally invasive approach using uterine artery embolization.
子宫动静脉瘘（AVF）是一种罕见但可能危及生命的疾病。后天性瘘可能由创伤或器械操作、子宫内膜癌、妊娠滋养细胞疾病以及宫内节育器（IUD）引起。在此，作者报告了一例33岁女性在放置左炔诺孕酮宫内节育器时子宫穿孔后发生子宫AVF的病例。通过彩色多普勒超声和血管造影诊断出该瘘，并采用子宫动脉栓塞的微创方法进行治疗。
