La malformación arteriovenosa uterina. Una lesión más frecuente y grave de lo sospechado |
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Authors: | Luis Eduardo Machado Francisco Raga Klever Chagas Francisco Bonilla Jr Juan Carlos Castillo Fernando Bonilla-Musoles |
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Institution: | 1. INTRO, Salvador, Bahia, Brasil;2. Departamento de Obstetricia y Ginecología, Facultad de Medicina, Valencia, España |
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Abstract: | IntroductionUterine arteriovenous malformation (AVM) is more common than it is reported to be and is a potentially life-threatening condition often secondary to uterine trauma or pregnancy. Congenital origin is also reported but is less common.Material and methodsEight cases are described.Results and discussionAVM is characterised by the presence of an intra-myometrial arteriovenous skein. Congenital cases may extend to vascular zones of the minor pelvis and/or other organs. The onset of AVMs is usually severe bleeding. Doppler ultrasound is the first diagnosis approach, but, angiography remains the gold standard for diagnostic evaluation. A previous negative pregnancy test is a “sine qua non” condition. Embolization is the more acceptable form of treatment. The therapeutic advances in their diagnosis and treatment are described, based on 8 personal cases. |
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Keywords: | Malformació n arteriovenosa uterina Doppler Angiografí a |
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