Successful treatment of symptomatic arteriovenous malformation of the uterus using laparoscopic bipolar coagulation of uterine vessels.
OBJECTIVE
To report a case of symptomatic arteriovenous malformation (AVM) of the uterus that was successfully treated with laparoscopic bipolar coagulation of uterine vessels.


METHODS
Case report.


METHODS
University-affiliated tertiary referral center.


METHODS
A 66-year-old woman with symptomatic AVM of the uterus.


METHODS
Laparoscopic bipolar coagulation of uterine vessels.


METHODS
Clinical symptoms, color Doppler sonographic examination, and pelvic magnetic resonance imaging.


RESULTS
Remarkable shrinkage of the lesion size, obvious decrease in all of the impedance measurements (pulsatility, resistance, velocity indexes [systolic/diastolic]), and freedom from symptoms.


CONCLUSIONS
This modality is a new alternative method for the management of patients with symptomatic AVM of the uterus who do not respond to conservative treatment.
Wu
Y C
YC
Department of Obstetrics and Gynecology, Veteran General Hospital and National Yang-Ming University, Taipei, Taiwan, Republic of China.
Liu
W M
WM
Yuan
C C
CC
Ng
H T
HT
D000368:Aged; D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D018615:Ultrasonography, Doppler, Color; D014591:Uterine Diseases / Q000473:pathology / Q000601:surgery*; D014599:Uterus / Q000098:blood supply*