scholarly journals Imaging spectrum of acquired uterine vascular abnormalities with angiographic correlates, a pictorial review

2022 ◽  
Vol 53 (1) ◽  
Author(s):  
Laiba Masood ◽  
Atif I. Rana ◽  
Zahid A. Khan ◽  
Saman Nosheen ◽  
Haider Ali ◽  
...  
Keyword(s):  
Uterine Artery ◽  
Young Patients ◽  
Abnormal Uterine Bleeding ◽  
Uterine Artery Embolisation ◽  
Vascular Abnormalities ◽  
Pictorial Review ◽  
Mri Features ◽  
Fundamental Cause ◽  
Life Threatening ◽  
Uterine Curettage

Abstract Background Acquired uterine arterial anomalies, including uterine artery pseudoaneurysms (UAP), arteriovenous malformations (AVMs) and arteriovenous fistulae (AFVs), are rare presenting causes of abnormal uterine bleeding. Timely diagnosis is essential for safe and effective treatment, avoiding life-threatening haemorrhage resulting from erroneous uterine curettage due to misdiagnosing these as other more common differentials. Main text This pictorial review discusses the ultrasound (USG), CT and MRI features of various acquired uterine vascular abnormalities with angiographic correlates. Conclusion Acquired uterine arteriovenous injuries are a fundamental cause of dysfunctional intractable bleeding recalcitrant to traditional conservative management. Endovascular transcatheter uterine artery embolisation is an increasingly popular and safe mode of treatment, especially in young patients desiring to have the option of future pregnancies, with lesser morbidity and in-hospital stay duration.

scholarly journals A Misdiagnosed Molar Pregnancy Ended Up in Excessive Haemorrhage Which was Later Diagnosed as a Uterine Arteriovenous Malformation

2021 ◽  
Vol 11 (9) ◽  
pp. 97-100
Author(s):  
Saima Najam ◽  
Syeda Ifra Hassan
Keyword(s):  
Arteriovenous Malformation ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Molar Pregnancy ◽  
Artery Embolization ◽  
Excessive Bleeding ◽  
Vascular Abnormalities ◽  
True Incidence ◽  
Suction Curettage ◽  
Life Threatening

Uterine vascular abnormalities though are not very common but are potentially life threatening as can lead to torrential vaginal bleeding. Although they are considered relatively rare, with fewer than 150 cases reported in the literature, a true incidence of the uterine AVM may be much higher. We are reporting a case which was diagnosed as molar pregnancy and suction curettage was done, at the time of the evacuation there was excessive bleeding which was immediately dealt with the tamponade by the Foleys catheter and the vaginal packs till the arrangements for the uterine artery embolization were done. At the time of embolization right uterine artery arteriovenous malformation was detected incidentally and embolized along with the uterine arteries. The post op recovery of the patient was uneventful. Retrospectively when the Doppler ultrasound was reassessed hypoechoic lesions and dilated veins were seen in the myometrium which were misdiagnosed as molar. In any patient if the myometrium shows dilated veins and on Doppler if abnormal active vessel flow with a coloured mosaic pattern is detected uterine AVM should be suspected and should be investigated further with the computed tomography (CT) for proper treatment of the patient and prevention of the life-threatening haemorrhage. Key words: Uterine artery embolization, haemorrhage, dilatation and curettage. Uterine AVM.

scholarly journals Endovascular Management of a Rare Cause of Bleeding Per Vaginam: A Hole in the Mole

2019 ◽  
Vol 03 (02) ◽  
pp. 122-125
Author(s):  
Anurag Chahal ◽  
Sundeep Malla ◽  
Shivanand Gamanagatti
Keyword(s):  
Uterine Artery ◽  
Color Doppler ◽  
Artery Aneurysm ◽  
Arterial Embolization ◽  
Endovascular Management ◽  
Artery Pseudoaneurysm ◽  
Delayed Bleeding ◽  
Uterine Surgery ◽  
Life Threatening ◽  
Uterine Curettage

AbstractUterine artery aneurysm is a rare cause of bleeding per vaginam. Uterine artery pseudoaneurysms are rare but potentially life-threatening causes of persistent or delayed bleeding post-uterine curettage or any uterine surgery. Color Doppler ultrasonography is very useful for emergent diagnosis of these conditions and subsequent follow-up post-embolization. Computed tomography scan and magnetic resonance imaging play an important role in confirming the diagnosis. Transcatheter arterial embolization is the therapy of choice for such cases. Our case highlights the presentation, imaging appearance, and endovascular management of a case of uterine artery pseudoaneurysm.

Prognostic value of pre-embolisation MRI features of uterine fibroids in uterine artery embolisation

2018 ◽  
Vol 73 (12) ◽  
pp. 1060.e1-1060.e7 ◽  
Author(s):  
I. Kalina ◽  
A. Tóth ◽  
É. Valcseva ◽  
P.N. Kaposi ◽  
N. Ács ◽  
...  
Keyword(s):  
Prognostic Value ◽  
Uterine Artery ◽  
Uterine Fibroids ◽  
Uterine Artery Embolisation ◽  
Mri Features

Anaesthetic implications of uterine artery embolisation in management of massive obstetric haemorrhage

Anaesthesia ◽  
2006 ◽  
Vol 61 (3) ◽  
pp. 248-252 ◽  
Author(s):  
R. Sundaram ◽  
A. G. Brown ◽  
S. K. Koteeswaran ◽  
G. Urquhart
Keyword(s):  
Uterine Artery ◽  
Uterine Artery Embolisation ◽  
Obstetric Haemorrhage

Uterine Artery Embolization for Control of Life-Threatening Hemorrhage at Menarche: Brief Report

2007 ◽  
Vol 18 (1) ◽  
pp. 127-131 ◽  
Author(s):  
Charles W. Bowkley ◽  
Gregory J. Dubel ◽  
Richard A. Haas ◽  
Gregory M. Soares ◽  
Sun H. Ahn
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Artery Embolization ◽  
Life Threatening

Uterine artery embolisation for massive uterine fibroids in the presence of submassive pulmonary emboli

2005 ◽  
Vol 112 (10) ◽  
pp. 1440-1442 ◽  
Author(s):  
Christopher J. Boos ◽  
Alison L. Calver ◽  
Adam Moors ◽  
Keith D. Dawkins ◽  
C. Nigel Hacking
Keyword(s):  
Uterine Artery ◽  
Uterine Fibroids ◽  
Uterine Artery Embolisation ◽  
Pulmonary Emboli

Endovascular treatment of postpartum haemorrhage in a woman with genitourinary and vascular congenital malformations

2021 ◽  
Vol 14 (3) ◽  
pp. e240608
Author(s):  
Scott Perkins ◽  
Elena Drews ◽  
Gabriel Li ◽  
Jonathan Martin
Keyword(s):  
Lower Extremity ◽  
Endovascular Treatment ◽  
Congenital Malformations ◽  
Uterine Artery ◽  
Postpartum Haemorrhage ◽  
Uterine Artery Embolisation ◽  
Persistent Sciatic Artery ◽  
Genitourinary Anomalies

A 43-year-old woman presented with postpartum haemorrhage necessitating uterine artery embolisation. Prior to embolisation, angiography demonstrated the presence of a persistent sciatic artery (PSA). Due to the possibility of embolic particles inadvertently traveling to the lower extremity via this variant arterial pathway, care was taken to only embolise the uterine artery. PSAs are uncommon but important vascular pathways to screen for during pelvic intervention and are associated with other genitourinary anomalies.

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