Document Detail

Ectopic pregnancy after successful treatment with percutaneous transcatheter uterine arterial embolization for congenital uterine arteriovenous malformation: a case report.
MedLine Citation:
PMID:  18193248     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Uterine arteriovenous malformation (AVM) is a rare disease. Percutaneous transcatheter uterine arterial embolization (UAE) has been performed in patients who wish to preserve their ability to conceive. UAE is considered to be a safe and effective procedure, but its long-term effect on fertility has not been fully elucidated. We present a case of ectopic tubal pregnancy after conservative treatment with UAE for uterine AVM. CASE: A 30-year-old Japanese woman was admitted for the treatment of unruptured right tubal pregnancy at 6 weeks of gestation. She had conceived spontaneously and delivered a healthy baby at term, 3 years previously. Subsequently, she was successfully treated with UAE for a large congenital uterine AVM. Transvaginal color Doppler ultrasonography revealed no evidence of residual AVM vessels. After the diagnosis of ectopic pregnancy, the patient underwent right tubectomy. At laparotomy, there were no adhesions or structural anomalies in the pelvic cavity that might affect tubal function. The patient's postoperative course was uneventful, and she is now healthy without conception 24 months after surgery. CONCLUSION: Prior uterine arterial embolization may have affected the tubal function in the present case, allowing tubal pregnancy to occur.
Kaei Nasu; Masakazu Nishida; Jun Yoshimatsu; Hisashi Narahara
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-01-12
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  278     ISSN:  0932-0067     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-05-29     Completed Date:  2008-10-07     Revised Date:  2009-01-22    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  171-2     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Idaigaoka 1-1, Hasama-machi, Yufu-shi, Oita 879-5593, Japan.
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MeSH Terms
Arteriovenous Malformations / therapy*
Embolization, Therapeutic / adverse effects*
Pregnancy, Tubal / etiology*,  surgery
Uterine Diseases / congenital,  therapy*
Uterus / blood supply*
Comment In:
Arch Gynecol Obstet. 2008 Dec;278(6):603   [PMID:  18716786 ]

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