Article 1. Pr Mbungu Mwimba Roger 2017.

Uterine Arterioveneous Malformation is rare, but Life-Threatening Disease: A report of 2 cases. 

Int J Cur Res Rev/ vol 9. Issue 10, May 2017.

Bakisololo Miyuna Jacqueline, Wang Huali, Mbungu Mwimba Roger, Guan Linlin. 

  1. Pursing a Master degree in Gynecology and obstetrics, Dallian Gynecology and Obstetrics ( Maternal and child health care) Hospital, affiliated to Dalian Medical University, Dalian, liaoning, China;
  2. Gynecologist PHD, Departement of gynecology, Dalian Gynecology and Obstetrics ( Maternal and Child health care) Hospital, affiliated to Dalian Medical University, Dalian, Liaoningg, China;
  3. Gynecologyst and Obstetrician PHD, Departement of Gynecology and Obstetrics, University Clinics of Kinshasa ( Cliniques Universitaires de Kinshasa), Democratic Republic of Congo.
ABSTRACT

Aim:

Through uterine arteriovenous malformation ( UAVM) is a rare event, it remains a life-threatening among reproductive women. Since its orgiginal description done by Dubreuil and Loubatin 1926; approximately 100 cases have been listed in the literature. The aim of the present report is to state the effectiveness of uterine embolization in the management of UAVM.

Case report:

In this report, we present two patients with uterine arterioveneous malformation who were admitted for recurrent vaginal hemorrhage and treated twice to thrice, prior to confirm the diagnosis. These patients had a history of either cesarean or curettage. In addition , one of the cases (case number 2) had a previous conization for cervical intraepithelial neoplasia III ( CIN III) one month earlier, which is an unusual case. The diagnosis has been made by color Doppler and Spectral flow imaging ( CDF I) and Digital Subtraction Angiography (DSA). One of the patients was treated whith embolotherapy, while another underwent a hysterectomy. The postoperative period was favorable.

Discussion:

Although the uterine embolization being effective, the treatement of UAVM is not standardized. However, it depends on the clinical condition of the patient, desire of fertility and age.

conclusion:

The uterine arteriovenous malformation is a dangereux morbidity, which requires promtt diagnosis.Doppler ultrasound and MRI are non-invasive tools for the diagnosis. Furthermore, the uterine artery angiography remains the gold procedure of the diagnosis, concomitantly leads the procedure of the embolotherapy. The embolization of the UAVM has the advantage to preserve fertility. However, hysterectomy should be considered should be considered as the last option to save the patient's life.

Key Words:

Arteriovenous malformation, cesarean, curettage, vaginal bleeding.

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