Korean J Obstet Gynecol.  1997 Jan;40(1):209-214.

A Case of Surgical Arterial Ligation in Combination with Transarterial Embolization in the Management of Recurrent Uterine Arteriovenous Malformation

• Seo JH
• Ahn SH
• Lee YG
• Lee DJ
• Lee SH

Abstract

Although uterine arterovenous malformation(AVM) is a rare cause of menorrhagia or postmenopausal bleeding, it is important to consider that curettage may precipitate life-threatening hemorrhage and therefore it is contraindicated when AVM is suspected. Special investigations such as hysteroscopy, Doppler flow ultrasound and angiography are important diagnostic tools, and transarterial embolization(TAE) has replaced hysterectomy as the treatment of choice in women who wish to retain their fertility. But due to the high incidence of collateral vessels, recurrence of the vascular malformation after TAE is common. We have experienced two cases of AVM, one of which was managed by TAE in combination with surgical arterial ligation.

Keyword

Arteriovenous malformation of uterus; Arterial ligation; Transarterial embolization

MeSH Terms

Angiography
Arteriovenous Malformations*
Curettage
Female
Fertility
Hemorrhage
Humans
Hysterectomy
Hysteroscopy
Incidence
Ligation*
Menorrhagia
Recurrence
Ultrasonography
Vascular Malformations