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[Acquired uterine arteriovenous malformations].

Abstract : Uterine arteriovenous malformations (AVM) may be responsible for vaginal bleeding potentially life-threatening. They are most often acquired following uterine trauma (curettage, cesarean section, artificial delivery/uterus examination) in association with pregnancy or gestational trophoblastic disease. We report three cases of patients having uterine AVM after curettage. The diagnostic management is important to avoid differential diagnoses (intra-uterine retention, hemangioma, gestational trophoblastic disease). It is based on serum hCG measurement and Doppler ultrasound, then confirmed on dynamic angio-MRI, which tends to replace angiography as first-line. The therapeutic management in cases of symptomatic AVMs is mostly embolization which offers the possibility for childbearing. Current data on subsequent pregnancies is reassuring even if they remain limited.
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https://www.hal.inserm.fr/inserm-00609119
Contributor : Hervé de Villemeur <>
Submitted on : Monday, July 18, 2011 - 12:13:27 PM
Last modification on : Thursday, May 28, 2020 - 12:28:04 PM

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Laurent Vandenbroucke, Karine Morcel, Bertrand Bruneau, Pierre-Yves Moquet, Estelle Bauville, et al.. [Acquired uterine arteriovenous malformations].. Gynécologie Obstétrique & Fertilité, Elsevier Masson, 2011, 39 (7-8), pp.469-72. ⟨10.1016/j.gyobfe.2011.05.008⟩. ⟨inserm-00609119⟩

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