Premium
Diagnosis and management of uterine arteriovenous fistulas with massive vaginal bleeding
Author(s) -
Yang J.J.,
Xiang Y.,
Wan X.R.,
Yang X.Y.
Publication year - 2005
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2004.11.037
Subject(s) - medicine , vaginal bleeding , surgery , dilation and curettage , arteriovenous fistula , curettage , embolization , uterine artery embolization , angiography , arteriovenous malformation , radiology , pregnancy , abortion , genetics , biology
Objective To study the clinical manifestations, diagnosis, management, and prognosis of uterine arteriovenous fistulas with massive vaginal bleeding. Methods The clinical records of 15 patients who satisfied the diagnostic criteria were retrospectively analyzed. Results All patients had massive vaginal bleeding and a history of cesarean section, curettage, or gynecologic carcinoma. The disease was diagnosed by angiography or color Doppler ultrasonography. Vaginal bleeding can be aggravated by dilation and curettage. No complications occurred in the 14 patients who were treated with uterine artery embolization. Of the 11 patients who underwent successful embolizations, all returned to a normal menstrual cycle and 5 later became pregnant. Conclusion Uterine arteriovenous fistula is a rare and potentially life‐threatening condition. Uterine artery embolization is a safe and effective choice of treatment for this condition, and it can preserve both uterus and ovary function.