Three-dimensional CT angiography is useful for diagnosis of postabortion uterine hemorrhage: 3 case reports and review of the literature.
Uterine hemorrhage is a major complication associated with abortion. There are various causes of postabortion uterine hemorrhage. The objective of this article is to estimate the efficacy of three-dimensional computed tomography (3D-CT) angiography in the diagnosis of this condition. We present 3 case reports of women with massive genital bleeding after abortion. 3D-CT angiography clearly demonstrated the 3-D features of the feeding artery, the draining vein, and the surrounding normal structures. The diagnosis in patient 1 was a uterine arteriovenous malformation, in patient 2 was a placental polyp mimicking a uterine arteriovenous malformation, and in patient 3 was a placental polyp. Patients were all successfully treated with uterine artery embolization or transcervical resection of the placental polyp. We conclude that 3D-CT angiography is useful for making a differential diagnosis and for preoperative planning in patients with postabortion uterine hemorrhage.
Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, Showa-ku, Nagoya, Japan.
Tomokazu
T
Umezu
Akira
A
Iwase
Toyohiro
T
Ota
Kojiro
K
Suzuki
Akiko
A
Nakagawa
Tatsuo
T
Nakahara
Sachiko
S
Takikawa
Hiroharu
H
Kobayashi
Shuichi
S
Manabe
Kyosuke
K
Suzuki
Maki
M
Goto
Fumitaka
F
Kikkawa
D000028:Abortion, Induced / Q000009:adverse effects*; D000328:Adult; D000792:Angiography; D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D011127:Polyps / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D036542:Tomography, Spiral Computed; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy