[Acquired uterine arteriovenous malformations].

Laurent Vandenbroucke 1, * Karine Morcel 1 Bertrand Bruneau 2 Pierre-Yves Moquet 3 Estelle Bauville 1 Jean Levêque 1 Vincent Lavoué 1
* Auteur correspondant
1 Pôle de gynécologie, obstétrique et médecine de la reproduction[Rennes]
2 Pôle imagerie et explorations fonctionnelles
3 Clinique mutualiste La Sagesse
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.
keyword : Angio-MRI Doppler ultrasound Embolization Metrorrhagia Vascular malformations
Type de document :
Article dans une revue
Gynécologie Obstétrique et Fertilité, Elsevier Masson, 2011, 39 (7-8), pp.469-72. 〈10.1016/j.gyobfe.2011.05.008〉
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http://www.hal.inserm.fr/inserm-00609119
Contributeur : Hervé De Villemeur <>
Soumis le : lundi 18 juillet 2011 - 12:13:27
Dernière modification le : mercredi 12 avril 2017 - 13:40:45

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

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