Uterine Arteriovenous Malformation as a Rare Cause of Menorrhagia

8/12/2019 Uterine Arteriovenous Malformation as a Rare Cause of Menorrhagia

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Peer Reviewed, Open Access, FreePublished QuarterlyMangalore, South IndiaISSN0972-5997Volume 7, Issue ! "ul-Se# 200$

Uterine Arteriovenous Malformation As A Rare Cause Of Menorrhagia

Authors

Chandana Das,

Associate Professor, Department of Gynaecology and Obstetrics, N.R.S. Medical College, Kolata,

Snehamay Chaudhuri

Assistant Professor, Department of Gynaecology and Obstetrics, N.R.S. Medical College, Kolata,

Madan Karmakar,

Associate Professor, Department of Radiology ,N.R.S. Medical College, Kolata

Sudipta Chakraborty

Associate Professor, Department of Pat!ology, N.R.S. Medical College, Kolata

Address or Corresponden!e

Dr" Snehamay Chaudhuri,

Sopan K"tir, #lat No $G,

%& ', Dr S C 'aner(ee Road,

Kolata ) *+++$+

#$mail%sne!amayc!a"d!"ridr-ya!oo.com

Citation

Das C, C!a"d!"ri S, Karmaar M, C!araborty S. terine Arterio/eno"s Malformation As A Rare Ca"se Of

Menorr!agia Online J Health Allied Scs. 0++12*3&456

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OJHAS Vol 7 Issue 3(4) Das C, Chaudhuri S, Karmakar M, Chakrabor! S" #eri$e Arerio%e$ous Mal&ormaio$ As A 'are Cause O& Me$orrhaia

Case Report

S"bmitted5 A"g"st 9, 0++12 S"ggested Re/ision5 No/ $6, 0++12 Res"bmitted5 No/ $9, 0++12 Accepted5 No/ $*,

0++12 P"blis!ed5 No/ 06, 0++1

Abstra!t%

terine arterio /eno"s malformation is "ncommon ca"se of menorr!agia. :e report a rare case of

arterio/eno"s malformation diagnosed after $1 years of s"ffering from menorr!agia.

Key 'ords% terine arterio/eno"s malformation, Menorr!agia
mailto:[email protected]:[email protected]


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(ntrodu!tion%

terine arterio/eno"s malformation 3A;M4 is a rare ca"se of menorr!agia.


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igure 4% 5istologi!al se!tions of myometrium shoing dilated and !ongested vas!ular spa!es lined by endothelial

!ells in absen!e of any spe!ifi! lesion * 56#, 7)88+

Pel/ic angiograp!y and MR< 8ere not done as t!ese facilities 8ere not a/ailable in o"r !ospital.

otal !ysterectomy 8it! bilateral salpingo oop!orectomy 8as done after co"nselling t!e patient 3patient 8as not desiro"s

for c!ild and s!e 8anted to get rid of t!e "ter"s4.

>istopat!ological e@amination of "ter"s and o/aries s!o8ed plenty of congested blood /essels and irreg"lar blood spaces in

myometri"m 8it!o"t any specific lesion. !ere 8ere feat"res of c!ronic cer/icits.


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O"r patient 8as 6+ years old and not desiro"s of !a/ing c!ild. Moreo/er s!e 8as so m"c! disg"sted 8it! t!e contin"ed s"f)

fering from menorr!agia, t!at s!e ref"sed any ind of conser/ati/e management and so !ysterectomy 8as planned for.

#leming et al reported si@ cases of A;M 8!o "nder8ent total abdominal !ysterectomy for life t!reatening bleeding. *S"c)

cessf"l "terine artery emboli=ation 8it! poly/inyl alco!ol particles in t!ree cases 8as reported by AA Nic!olson et al. All of

t!em res"med normal menstr"ation and one of t!em !ad s"ccessf"l pregnancy also. 0Prab!" et al also reported a case of

"terine A;M treated 8it! spring coil, 8!o res"med normal menstr"ation 8it! t!e proced"re.B

Con!lusion%

terine A;Ms t!o"g! rare are potentially life t!reatening lesions. !o"g! !ysterectomy 8as t!e only treatment for it in t!e

past, "terine artery emboli=ation is a safe and effecti/e met!od of treatment 8!en "terine f"nction is to be preser/ed. !e

case is reported !ere not only for its rarity b"t also to !ig!lig!t t!e delay in its diagnosis. #or long eig!teen years s!e 8as

treated by different doctors 8it! /ario"s !ormonal preparations. >ad s!e been diagnosed earlier and treated by "terine

artery emboli=ation, !er "ter"s 8o"ld !a/e been sa/ed and s!e mig!t concei/e. So 8!ile dealing 8it! a case of refractory

type of menorr!agia one s!o"ld al8ays consider t!e possibility of "terine A;M.

Referen!es%

$. 'agga R, ;erma P, Agar8al N, S"ri ;, 'ap"ra( FR. #ailed angiograp!ic emboli=ation in "terine arterio /eno"s mal)

formation5 a case report and re/ie8 of literat"re. A/ailable at 888.medscape.com7/ie8article 7%9*%0&print Ac)

cessed on 0B7*70++1.

0. Nic!olson AA, "rnb"ll :, Coady AM, G"t!rie K. Diagnosis and management of "trineaterio/eno"s malforma)tions. Clin Radiol$BBB2%636409%)B

&. D"bre"il G, o"bat , Ane"rysme crisoide de lH "ter"s and AnnAnat Patho.$B092&59B*)*$1

6. G!os! K. Arterio/eno"s malformation of t!e "ter"s and pel/is. Obstet Gynecol.$B1929156+)& .

%. 'ottomoley FP, :!ite!o"se G>. Congenital arterio/eno"s malformation of t!e "ter"s demonstrated by angiogra)

p!y.Acta Radiological Diagnostica$B*%2$956&)61 .

9. :iebe, R S8it=er P. Arterio/eno"s malformation of "ter"s associated 8it! medical abortion. Int J obstet Gynecol.

0++*2*$5 $%%)1

*. #leming >, Ostor AI, Picel >, #or"ne D:. Artio/eno"s malformations of t!e "ler"s. Obstet gyneccol

$B1B2*&30450+B)$6 .

1. Moria8a M, Jamada , Jamada >, Minaami >. ffect of gonadotropin)releasing !ormone agonist on a "terine

arterio/eno"s malformation. Obstet Gynecol.0++92$+15*%$)*%&

B. Prab!" A, G"pta A , Par"lear S. lerene Arte/io/eno"es Malformation A rare case of terine >aemorr!age. A/ail)

able at !ttp577888.b!(.org7(o"rnal7$BBB6$+0aprB*7case&%%!tmAccessed on 0*)+*)+1

!ttp577o(!as.org 4

OJHAS Vol 7 Issue 3(4) Das C, Chaudhuri S, Karmakar M, Chakrabor! S" #eri$e Arerio%e$ous Mal&ormaio$ As A 'are Cause O& Me$orrhaia
http://www.medscape.com/viewarticle/567523_printhttp://www.medscape.com/viewarticle/567523_printhttp://www.bhj.org/journal/1999_4102_apr97/case_355htmhttp://www.medscape.com/viewarticle/567523_printhttp://www.medscape.com/viewarticle/567523_printhttp://www.bhj.org/journal/1999_4102_apr97/case_355htm

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Uterine Arteriovenous Malformation as a Rare Cause of Menorrhagia