
Stepwise Treatment of Uterine Arteriovenous Malformation Complicated by a Giant Aneurysm: A Case Report
Author(s) -
Vladislav Garbuzov,
Ravil Khafizov,
Д. Г. Громов,
E.V. Kozlova
Publication year - 2020
Publication title -
international journal of biomedicine
Language(s) - English
Resource type - Journals
eISSN - 2158-0529
pISSN - 2158-0510
DOI - 10.21103/article10(4)_cr2
Subject(s) - medicine , arteriovenous malformation , hysterectomy , uterus , uterine bleeding , angiography , radiology , surgery , ultrasonography
Uterine arteriovenous malformation (AVM) is a rare condition that threatens severe uterine bleeding. We present a patient with this pathology, who was hospitalized twice within 5 months in serious condition, because she refused a hysterectomy. Ultrasonography of the uterus detected a vascular formation, the nature of which could be identified only on computed tomography (CT) angiography. Afferent vessels were embolized twice, and after the condition was stabilized, we performed a hysterectomy. For a long time, there was no recurrence of bleeding. The foregoing allows us to recommend the described tactics for the diagnosis and treatment of uterine AVM in women in similar clinical situations.