[Uterine artery comes directly from ovarine artery: a case report].
The patient is a 48-year-old woman. She came to our hospital because of consistent colporrhagia for one month. Her first menstrual came when she was 17 years old, her last menstrual period (LMP) was on March 23, 2005. When she came to our hospital, she looked weak and anemic. Temperature (T): 36.6 degrees C; pulse(P): 80 counts per minute; respire(R): 19 counts per minute; blood pressure (BP): 130/90 mmHg(1 mmHg=0.133 kPa). Physical examination showed that her vagina was smooth, there was some lifeblood in it; the cervical was hypertrophy; the womb was anteposition; there was no pressure pain; the two side adjuncts were normal. The laboratory examination showed that the white blood cell (WBC) was 3.40 x 10(9)/L the red blood cell (RBC) 3.14 x 10(12)/L the hemoglobin (HGB) 88.0 g/L and the platelet (PLT) 206 x10(9) L. B ultrasound showed that the womb was uniformity aggrandizement. The pathology showed that the endometrium was glandular hyperplasia. The final diagnosis was dysfunction womb hemeorrhage. After the uterine curettage and hormonal regulation, there remained some hemorrhage. The ovarine arterial embolization (OAE) was operated on June 30, 2005. The angiography showed the two side internal lliac arteries had no uterine artery. The two side ovarian arteries were stout. The balance stage showed that the womb's blood supply came from ovarian artery. The consistent colporrhagia stopped after the OAE with gelatin sponge through 3.0F SP microcatheter. After 18 months' follow up survey, the woman's menstrual halted, and she was satisfied with it.
Shi
Qin sheng
Qs
Beijing Shunyi District Hospital, Bei Jing Shun Yi Hospital of China Medical University, Beijing 101300, China.
Wang
Fei
F
Zhang
Hong wei
Hw
D000792:Angiography; D001158:Arteries / Q000002:abnormalities; D005260:Female; D006801:Humans; D008875:Middle Aged; D010053:Ovary / Q000098:blood supply*; D055988:Uterine Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging