RESUMEN
Uterine arteriovenous malformation (AVM), an extremely rare condition, is defined as an abnormal connection between artery and vein. Although the pelvis is a common site for AVM, the uterus is involved occasionally and the true incidence is unknown. The objective of this study was to discuss diagnostic features and management options of AVMs. In this paper six cases of AVMs have been reported with a review of diagnosis and management options.
Asunto(s)
Malformaciones Arteriovenosas/diagnóstico por imagen , Ultrasonografía/métodos , Embolización de la Arteria Uterina/métodos , Arteria Uterina/anomalías , Hemorragia Uterina/diagnóstico por imagen , Hemorragia Uterina/terapia , Adulto , Diagnóstico Diferencial , Femenino , Humanos , Resultado del Tratamiento , Arteria Uterina/diagnóstico por imagen , Hemorragia Uterina/etiologíaRESUMEN
OBJECTIVE: To assess the findings in conjoined twins diagnosed prenatally. MATERIAL AND METHODS: Between January 2002 and June 2009, we reviewed the database and medical records of 857 twin pregnancies, including 140 monochorionic twins. Nineteen monochorionic-monoamniotic twin pregnancies were detected, four of which were complicated by conjoined twins. RESULTS: Of these 4 cases, 2 were complicated by thoracopagus and one had thoraco-omphalopagus; these three cases underwent termination at 16, 11, and 19 weeks gestation, respectively. The last case was diagnosed as a pygopagus tetrapus parasitic twin at 28 weeks gestation. The family decided to continue the pregnancy, and achieved a successful outcome with elective surgery postpartum. CONCLUSION: Conjoined twins are an uncommon and complex complication of monozygotic gestations, which is associated with high perinatal mortality. The early prenatal diagnosis of conjoined twins allows improved counseling about the management options, including maintenance of pregnancy with surgery after delivery or termination of pregnancy.
