Cargando…
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...
Autores principales: | , , |
---|---|
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 |
_version_ | 1782368124320874496 |
---|---|
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. |
format | Online Article Text |
id | pubmed-4408870 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT bhoilrohit acaseofcongenitaluterinearteriovenousmalformationmanagedbyhysterectomy AT raghuvanshivandana acaseofcongenitaluterinearteriovenousmalformationmanagedbyhysterectomy AT basavaiahsuhas acaseofcongenitaluterinearteriovenousmalformationmanagedbyhysterectomy AT bhoilrohit caseofcongenitaluterinearteriovenousmalformationmanagedbyhysterectomy AT raghuvanshivandana caseofcongenitaluterinearteriovenousmalformationmanagedbyhysterectomy AT basavaiahsuhas caseofcongenitaluterinearteriovenousmalformationmanagedbyhysterectomy |