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. 2013 Feb 23;16(1):41-4.
doi: 10.1007/s40477-013-0007-z. eCollection 2013.

Uterine arteriovenous malformation

F Alessandrino  1 , E Di Silverio, L P Moramarco
Affiliations

Uterine arteriovenous malformation

F Alessandrino et al. J Ultrasound. .

Abstract
in English, German

Uterine arteriovenous vascular malformations (UAVM) are uncommon vascular diseases, occurring during reproductive age. Patients affected by UAMVs usually present with recurrent pregnancy loss or menorrhagia. Initial evaluation of UAVMs is made with ultrasonography (US) and US-Doppler. Magnetic resonance is used when a UAMV is suspected at US. Treatment can be surgical (hysterectomy or surgical removal of AVM), or with selective uterine arterial embolization. We report a case of UAMV, from its clinical signs to diagnostic confirmation and subsequent treatment.

Le malformazioni arterovenose dell’utero (MAVU) sono disordini vascolari poco comuni, che spesso si presentano in donne in età fertile; si manifestano come aborti ricorrenti o con menorragia. La valutazione iniziale viene eseguita con l’ecografia e eco colour-Doppler. La risonanza magnetica è utilizzata in caso di sospetto ecografico di MAVU. Il trattamento può essere chirurgico o mediante embolizzazione delle arterie uterine. In questo articolo è riportato un caso di MAVU, dal sospetto clinico alla conferma diagnostica e al trattamento effettivo.

Keywords: Embolization; MRI; US-Doppler; Uterine arteriovenous malformation; Uterine artery.

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Figures

Fig. 1
Fig. 1
US-Doppler shows high flow vessels within the uterine lesions
Fig. 2
Fig. 2
MR shows a uterine lesion within myometrium. a In axial scans it appears as a focal thickening of anterior uterine wall. b MR-angiography shows that the UAMV is supplied by uterine arteries and drains directly into parauterine veins
Fig. 3
Fig. 3
Conventional angiography before (a) and after (b) uterine artery embolization
See this image and copyright information in PMC

References

    1. Cura M, Martinez N, Cura A, Dalsaso TJ, Elmerhi F. Arteriovenous malformations of the uterus. Acta Radiol. 2009;50(7):823–829. doi: 10.1080/02841850903008792. - DOI - PubMed
    1. Nicholson AA, Turnbull LW, Coady AM, Guthrie K. Diagnosis and management of uterine arterio-venous malformations. Clin Radiol. 1999;54:265–269. doi: 10.1016/S0009-9260(99)91165-0. - DOI - PubMed
    1. Polat P, Suma S, Kantarcý M, Alper F, Levent A. Color Doppler US in the evaluation of uterine vascular abnormalities. Radiographics. 2002;22(1):47–53. - PubMed
    1. Dubreuil G, Loubat E. Aneurysme cirsoide de l’uterus. Ann Anat Pathol. 1926;3:697–718.
    1. Brown JV, 3rd, Asrat T, Epstein HD, Oglevie S, Goldstein BH. Contemporary diagnosis and management of a uterine arteriovenous malformation. Obstet Gynecol. 2008;112(2 Pt 2):467–470. doi: 10.1097/AOG.0b013e3181719f7d. - DOI - PubMed

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