Dahal Jyoti, Tamrakar Suman Raj, Basnyat Rupesh Singh
Department of Obstetrics and Gynaecology, Kathmandu University School of Medicine, Dhulikhel, Kavre, Nepal.
JNMA J Nepal Med Assoc. 2025 Feb;63(282):120-122. doi: 10.31729/jnma.8891. Epub 2025 Feb 28.
Uterine Arteriovenous malformation is an abnormal connection between artery and veins in the uterus. Although rare, it is an important cause of abnormal uterine bleeding in women and can lead to life threatening torrential hemorrhage. Traditionally such cases have been managed with medical therapy and hysterectomy. However, selective uterine artery embolization and hysteroscopy guided procedures are the treatment of choices. We hereby report a case of 25 years lady who presented with irregular heavy vaginal bleeding and diagnosed to have uterine arteriovenous malformation by magnetic resonance imaging. She was managed conventionally with condom tamponade during bleeding due to intrauterine procedure and later with hormonal therapy. The patient later had regular cycles avoiding hysterectomy at a young age. The objective of this case report is to share the successful application of uterine balloon tamponade (UBT) for the active management of bleeding uterine arteriovenous malformation which has not been reported so far which can be applied especially in a resource limited setup.
子宫动静脉畸形是子宫内动脉与静脉之间的异常连接。虽然罕见，但它是女性子宫异常出血的重要原因，可导致危及生命的大出血。传统上，此类病例采用药物治疗和子宫切除术。然而，选择性子宫动脉栓塞术和宫腔镜引导下的手术是首选治疗方法。我们在此报告一例25岁女性，她因不规则大量阴道出血就诊，经磁共振成像诊断为子宫动静脉畸形。在因宫内操作出血期间，她接受了传统的避孕套填塞治疗，后来接受了激素治疗。该患者后来月经周期规律，避免了年轻时进行子宫切除术。本病例报告的目的是分享子宫球囊填塞术（UBT）在子宫动静脉畸形出血的积极管理中的成功应用，这在资源有限的环境中尤其适用，目前尚未见相关报道。
