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A Case of Congenital Uterine Arterio-Venous Malformation Managed by Hysterectomy

BACKGROUND: A uterine arteriovenous malformation (AVM) is a rare cause of uterine bleeding. It may have varied presentations ranging from being completely asymptomatic; to features of congestive heart failure to vaginal bleeding which may at times life be threatening. Clinical findings in such cases...

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Autores principales: Bhoil, Rohit, Raghuvanshi, Vandana, Basavaiah, Suhas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4408870/
https://www.ncbi.nlm.nih.gov/pubmed/25922626
http://dx.doi.org/10.12659/PJR.893299
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author Bhoil, Rohit
Raghuvanshi, Vandana
Basavaiah, Suhas
author_facet Bhoil, Rohit
Raghuvanshi, Vandana
Basavaiah, Suhas
author_sort Bhoil, Rohit
collection PubMed
description BACKGROUND: A uterine arteriovenous malformation (AVM) is a rare cause of uterine bleeding. It may have varied presentations ranging from being completely asymptomatic; to features of congestive heart failure to vaginal bleeding which may at times life be threatening. Clinical findings in such cases are often un-reliable; requiring a high index of suspicion to make the diagnosis. Sonographic gray scale features are non-specific requiring confirmation with colour and spectral Doppler. CASE REPORT: We report a case of a 46-year-old lady who presented with heavy vaginal bleeding and ultrasound/colour Doppler evidence of uterine AVM managed by abdominal hysterectomy, describing the imaging features on ultrasound and Doppler. We also discuss in brief about this uncommon but serious condition which the radiologist/gynaecologist may encounter in thier practise. CONCLUSIONS: Uterine AV Malformation is a rare but potentially life-threatening cause of menorrhagia which must be kept in the differential diagnosis of sudden and massive vaginal bleeding. Ultrasound remains the modality of choice in diagnosing the condition which requires a high index of clinical suspicion. Color and spectral Doppler ultrasound should be used to supplement the findings and to confirm the diagnosis.
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spelling pubmed-44088702015-04-28 A Case of Congenital Uterine Arterio-Venous Malformation Managed by Hysterectomy Bhoil, Rohit Raghuvanshi, Vandana Basavaiah, Suhas Pol J Radiol Case Report BACKGROUND: A uterine arteriovenous malformation (AVM) is a rare cause of uterine bleeding. It may have varied presentations ranging from being completely asymptomatic; to features of congestive heart failure to vaginal bleeding which may at times life be threatening. Clinical findings in such cases are often un-reliable; requiring a high index of suspicion to make the diagnosis. Sonographic gray scale features are non-specific requiring confirmation with colour and spectral Doppler. CASE REPORT: We report a case of a 46-year-old lady who presented with heavy vaginal bleeding and ultrasound/colour Doppler evidence of uterine AVM managed by abdominal hysterectomy, describing the imaging features on ultrasound and Doppler. We also discuss in brief about this uncommon but serious condition which the radiologist/gynaecologist may encounter in thier practise. CONCLUSIONS: Uterine AV Malformation is a rare but potentially life-threatening cause of menorrhagia which must be kept in the differential diagnosis of sudden and massive vaginal bleeding. Ultrasound remains the modality of choice in diagnosing the condition which requires a high index of clinical suspicion. Color and spectral Doppler ultrasound should be used to supplement the findings and to confirm the diagnosis. International Scientific Literature, Inc. 2015-04-19 /pmc/articles/PMC4408870/ /pubmed/25922626 http://dx.doi.org/10.12659/PJR.893299 Text en © Pol J Radiol, 2015 This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited.
spellingShingle Case Report
Bhoil, Rohit
Raghuvanshi, Vandana
Basavaiah, Suhas
A Case of Congenital Uterine Arterio-Venous Malformation Managed by Hysterectomy
title A Case of Congenital Uterine Arterio-Venous Malformation Managed by Hysterectomy
title_full A Case of Congenital Uterine Arterio-Venous Malformation Managed by Hysterectomy
title_fullStr A Case of Congenital Uterine Arterio-Venous Malformation Managed by Hysterectomy
title_full_unstemmed A Case of Congenital Uterine Arterio-Venous Malformation Managed by Hysterectomy
title_short A Case of Congenital Uterine Arterio-Venous Malformation Managed by Hysterectomy
title_sort case of congenital uterine arterio-venous malformation managed by hysterectomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4408870/
https://www.ncbi.nlm.nih.gov/pubmed/25922626
http://dx.doi.org/10.12659/PJR.893299
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