Document Detail


Arteriovenous malformation as a consequence of a scar pregnancy.
MedLine Citation:
PMID:  19452327     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A scar pregnancy is an ectopic pregnancy implanted in a previous lower segment cesarean scar, and the incidence of this complication may be expected to rise along with increasing cesarean section rates. Arteriovenous malformation of the uterus may be congenital, associated with early pregnancy loss, trophoblastic disease, or surgical procedures. We describe a case of uterine arteriovenous malformation as a consequence of a scar pregnancy, complicated by recurrent, serious bleeding. The condition was diagnosed using three-dimensional ultrasound with color Doppler and magnetic resonance imaging and appears not to have been described before. Selective embolization was performed, but eventually surgical intervention with resection of the affected uterine segment was necessary, and the patient recovered. The diagnosis was confirmed by pathologic-anatomical diagnosis showing trophoblastic cells in the resected area. Because of collateral formation, non-surgical options may be limited and not successful.
Authors:
Astrid B Rygh; Ole J Greve; Lars Fjetland; Jannicke M Berland; Torbjørn M Eggebø
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  88     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2009  
Date Detail:
Created Date:  2009-06-22     Completed Date:  2009-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  England    
Other Details:
Languages:  eng     Pagination:  853-5     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway. ryas@sus.no
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteriovenous Malformations / diagnosis,  etiology*
Cesarean Section / adverse effects*
Cicatrix / complications*,  ultrasonography
Female
Humans
Magnetic Resonance Imaging
Pregnancy
Pregnancy, Ectopic / diagnosis,  etiology*
Ultrasonography, Doppler, Color
Uterus / blood supply*,  ultrasonography

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