[Diagnosis and management of uterine arteriovenous fistula with massive vaginal bleeding].
OBJECTIVE
To study the clinical manifestation, diagnosis, management and prognosis of uterine arteriovenous fistula with massive vaginal bleeding.


METHODS
The clinical records of 15 patients who satisfied the diagnostic criteria were retrospectively analyzed.


RESULTS
All patients had massive vaginal bleeding, with a history of caesarean section, curettage or gynecologic carcinoma. The disease could be diagnosed by angiography or color Doppler ultrasound. Vaginal bleeding was aggravated by dilation and curettage. Fourteen patients were treated with uterine artery embolization, and no complications occurred postembolization. Of the eleven successful embolizations, all patients returned normal menstrual cycling. Five of these patients became pregnant later.


CONCLUSIONS
Uterine arteriovenous fistula is a rare and potentially life threatening disease. Uterine artery embolization is a safe and effective treatment for this disease, and it can preserve normal function of uterus and ovaries.
Yang
Juan-jun
JJ
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
Xiang
Yang
Y
Wan
Xi-run
XR
Gao
Yan
Y
Cheng
Ning-hai
NH
Liu
Wei
W
Yang
Ning
N
Yang
Xiu-yu
XY
D000328:Adult; D000792:Angiography; D001164:Arteriovenous Fistula / Q000150:complications* / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007044:Hysterectomy; D011142:Polyvinyl Alcohol / Q000627:therapeutic use; D012189:Retrospective Studies; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014592:Uterine Hemorrhage / Q000209:etiology / Q000628:therapy*; D014599:Uterus / Q000098:blood supply*
D011142:Polyvinyl Alcohol