Document Detail


Color Doppler sonographic features of uterine arteriovenous malformations: report of two cases.
MedLine Citation:
PMID:  9339531     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe the color Doppler sonographic features of uterine arteriovenous malformations in two cases. In both cases color Doppler imaging demonstrated hypervascularity throughout the arteriovenous malformation. The dominance of pale shades during both systole and diastole represented low-impedance, high-velocity flow within the lesion and a colored mosaic pattern representing turbulent flow was noted. Spectral analysis of the vessels within the lesion confirmed high-velocity flow during both systole and diastole, and a low resistance index. The spectral waveform trace also showed spectral broadening consistent with turbulence and the spectral envelope was irregular. These findings indicated the presence of numerous arteriovenous shunts and marked turbulence within the arteriovenous malformation. Spectral analysis of the venous flow revealed high flow velocities and systolic velocity peaks similar to an arterial pattern. The uterine artery velocity waveforms were characterized by high flow velocity and a low resistance index. The diagnosis of uterine arteriovenous malformation was confirmed by histological examination in both cases. The findings of these two cases suggest that color Doppler sonography may play an important role in the diagnosis of uterine arteriovenous malformations.
Authors:
E Müngen; Y Z Yergök; A A Ertekin; A R Ergür; E Uçmakli; S Aytaçlar
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  10     ISSN:  0960-7692     ISO Abbreviation:  Ultrasound Obstet Gynecol     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-11-20     Completed Date:  1997-11-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  215-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Gülhane Military Medical Academy Haydarpa a Training Hospital, Istanbul, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteriovenous Malformations / diagnosis,  surgery,  ultrasonography*
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Iliac Artery / abnormalities,  ultrasonography
Regional Blood Flow
Sensitivity and Specificity
Ultrasonography, Doppler, Color*
Uterine Hemorrhage / etiology,  ultrasonography
Uterus / abnormalities,  blood supply*,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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