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Sonohysterography is a useful diagnostic approach for uterine arteriovenous malformation
Author(s) -
Mishina Miyuki,
Hasegawa Junichi,
Nakamura Masamitsu,
Ichizuka Kiyotake,
Sekizawa Akihiko,
Okai Takashi
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12390
Subject(s) - medicine , arteriovenous malformation , uterine bleeding , curettage , echogenicity , hematoma , dilation and curettage , radiology , abortion , ultrasound , pregnancy , gynecology , genetics , biology
Uterine arteriovenous malformation ( AVM ) is a rare cause of abnormal uterine bleeding; nevertheless, it is a potentially life‐threatening condition when the diagnosis is not made. We report a case of uterine AVM with a secondary uterine hematoma diagnosed 2 weeks after curettage due to spontaneous abortion. Ultrasound examination revealed a mixed echogenic mass of approximately 4 cm × 1.5 cm with no blood flow and an additional contiguous heterogeneous mass with turbulent blood flow depicted by color D oppler. Transvaginal sonohysterography enabled us to exclude residual chorionic tissues and to make precise diagnosis of uterine AVM with a secondary hematoma.