Yammine Kabalane, Osman Dani, Daher Jihad, Salha Makram, Mouawad Sabine
Department of Diagnostic and interventional radiology, Clemenceau Medical Center, Beirut, Lebanon.
Department of Surgery, University of LAU, Beirut, Lebanon.
Radiol Case Rep. 2023 Apr 11;18(6):2204-2208. doi: 10.1016/j.radcr.2023.03.018. eCollection 2023 Jun.
Acquired uterine arteriovenous malformation is a rare condition, sometimes provoking abnormal life-threatening uterine hemorrhage. Here, we present the case of a 30-year-old healthy woman who developed heavy vaginal bleeding after dilatation and suctioning of the placenta 1 month after the delivery of a nonviable fetus. An ultrasound was performed which showed the appearance of a large exacerbation of a vessel with positive fetal sounds, normal cardiac movement, and normal morphological analysis. The patient was successfully treated with unilateral superselective embolization, distal to the ovarian supply, maintaining normal supply to the uterus and ovaries restoring normal menstruation, and showed complete resolution of the arteriovenous malformation.
获得性子宫动静脉畸形是一种罕见病症，有时会引发危及生命的子宫异常出血。在此，我们报告一例30岁健康女性的病例，该女性在娩出一个无法存活的胎儿1个月后，进行胎盘扩张和吸引术后出现大量阴道出血。进行了超声检查，结果显示出现一个大的血管病变加重，有胎儿心音阳性、心脏活动正常以及形态学分析正常。该患者通过在卵巢供血远端进行单侧超选择性栓塞成功治愈，维持了子宫和卵巢的正常供血，月经恢复正常，且动静脉畸形完全消退。
