title: Treatment of uterine arteriovenous malformation by myometrial lesion resection combined with artery occlusion under laparoscopy: a case report and literature review.
abstract: Uterine arteriovenous malformation (AVM) is an uncommon, potentially life-threatening condition, and the primary therapeutic method is embolization. We describe a case of a 36-year-old woman with acquired uterine AVM accompanied by abnormal vaginal bleeding. The diagnosis was established by Doppler flow ultrasonography combined with magnetic resonance arteriography. Because this uterine AVM was extensive and multiple, uterine arterial embolization could not be considered. We therefore employed a combined method under laparoscopy, in which the uterine arteries were first occluded, then uterine myometrial lesions were resected and abnormal pelvic blood vessels were ablated. Finally, the uterus was reconstructed with an intact uterine cavity. Abnormal vaginal bleeding was successfully stopped after operation, but amenorrhea due to uterine adhesions occurred. This method is suitable for the treatment of uterine AVM with extensive and multiple lesions, but it should be chosen cautiously for women of reproductive age with AVM and fertility requirement.
authors.affiliation: Department of Obstetrics and Gynecology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
authors.forename: Shu-Qin
authors.initials: SQ
authors.lastname: Chen
authors.forename: Hong-Ye
authors.initials: HY
authors.lastname: Jiang
authors.forename: Jin-Bo
authors.initials: JB
authors.lastname: Li
authors.forename: Li
authors.initials: L
authors.lastname: Fan
authors.forename: Ming-Juan
authors.initials: MJ
authors.lastname: Liu
authors.forename: Shu-Zhong
authors.initials: SZ
authors.lastname: Yao
mesh_terms: D000328:Adult; D001165:Arteriovenous Malformations / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D009215:Myometrium / Q000601:surgery*; D060205:Therapeutic Occlusion; D055988:Uterine Artery / Q000473:pathology*
keywords: Laparoscopy; Uterine adhesion; Uterine arterial occlusion; Uterine arteriovenous malformation; Uterine myometrial lesion resection