Resection of uterine arteriovenous fistula with temporary occlusion of the internal iliac arteries: Case series and literature review.
Medicine (Baltimore)
; 103(35): e39442, 2024 Aug 30.
Article
in En
| MEDLINE
| ID: mdl-39213197
ABSTRACT
RATIONALE Uterine arteriovenous fistula (UAVF) is a rare vascular abnormality that can cause severe and potentially life-threatening hemorrhage. Uterine artery embolization is a common treatment that may affect ovarian and uterine perfusion and cause fertility problems. We herein report our experience treating 2 patients with UAVF who underwent resection after temporary occlusion of both internal iliac arteries. PATIENT CONCERNS Both patients presented with a large UAVF after incomplete miscarriages in the second trimester. Magnetic resonance imaging revealed a UAVF measuring 3.6â
×â
2.6â
×â
2.1 cm over the myometrium of the posterior uterine in case 1, and a UAVF of 7.1â
×â
4.1â
×â
4.5 cm was identified in case 2. DIAGNOSIS Uterine arteriovenous fistula, retained products of conception. INTERVENTIONS:
The patients underwent resection of UAVF with temporary occlusion of the internal iliac arteries and hysteroscopic removal of the retained products of conception.OUTCOMES:
Intraoperative bleeding were minimal. Neither patient exhibited abnormal uterine bleeding at the 6-month follow-up. Follow-up ultrasonography and magnetic resonance imaging showed normal uterine myometrium and endometrium and no residual disease. LESSONS UAVF resection after temporary occlusion of the internal iliac arteries is a promising treatment approach for UAVF. This technique can reduce intraoperative bleeding and remove the potential hemorrhage-related lesion while preserving fertility.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Arteriovenous Fistula
/
Iliac Artery
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Medicine (Baltimore)
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: