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Case Reports
. 2014 Jun;40(6):1811-3.
doi: 10.1111/jog.12390.

Sonohysterography is a useful diagnostic approach for uterine arteriovenous malformation

Miyuki Mishina  1 , Junichi Hasegawa, Masamitsu Nakamura, Kiyotake Ichizuka, Akihiko Sekizawa, Takashi Okai
Affiliations
Case Reports

Sonohysterography is a useful diagnostic approach for uterine arteriovenous malformation

Miyuki Mishina et al. J Obstet Gynaecol Res. 2014 Jun.

Abstract

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 Doppler. Transvaginal sonohysterography enabled us to exclude residual chorionic tissues and to make precise diagnosis of uterine AVM with a secondary hematoma.

Keywords: color Doppler; dilatation and curettage; sonohysterography; ultrasound; uterine arteriovenous malformation.

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