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Arteriovenous malformation of the uterus: Case reports and review of literature.

Author

Maria Aurora Fatima C. Icasas

Related Institution

Department of Obstetrics and Gynecology - Cardinal Santos Medical Center

Publication Information

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Journal of Obstetrics and Gynecology
Frequency
Quarterly
Publication Date
July-September 2013
Volume
37
Issue
3
Page(s)
140-150

Abstract

Uterine arteriovenous malformation, rare as it may seem, must be considered whenever there is unexpected, excessive, intermittent vaginal bleeding, particularly after delivery or surgical procedures done on the uterus. Two cases of AVM were presented in addition to the 2 cases published in the local literature. A diagnostic and treatment flow chart was created based on how the 4 cases were managed.


A high index of suspicion and timely diagnosis of the condition are essential to provide appropriate patient care.


1. In women with completed family, a hysterectomy can be done.


2. Conservative management options are recommended in women where preservation of fertility is desired. In a government hospital where there is limited access to medical facilities, bilateral hypogastric artery ligation followed by excision of the uterine mass can be performed.


3. With the advent of minimally invasive treatment options, selective catheterization and percutaneous embolization procedure can be done. This expensive procedure is done in tertiary medical centers where the facilities and training to perform this interventional technique are available


With the awareness of the existence of this disease and its variable clinical presentations and correlating them with diagnostic modalities, treatment can be optimized for each individual patient.

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Box No. 52A Fulltext pdf (Request Document)
Philippine Council for Health Research and Development Fulltext Print Format

 
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