Malformación arteriovenosa uterina, como causa poco frecuente de hemorragia uterina anormal

Rommel Omar Lacunza Paredes

doi:10.31403/rpgo.v59i36

Autores/as

Rommel Omar Lacunza Paredes Médico Ginecólogo Obstetra, Asistente del Servicio de Ginecología-Obstetricia, Hospital Nacional Daniel Alcides Carrión, Callao, Perú

DOI:

https://doi.org/10.31403/rpgo.v59i36

Resumen

Se comunica el caso de una paciente que cursó con hemorragia uterina anormal debida a malformación arteriovenosa uterina adquirida, relacionada con un aborto y curetaje en los meses anteriores. El diagnóstico se realizó mediante ecografía Doppler y Doppler con reconstrucción 3D. Posteriormente fue manejada de manera expectante y con anticonceptivos, resolviéndose el sangrado. Palabras clave: Hemorragia uterina anormal, malformación arteriovenosa uterina, aborto.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

O’Brien P, Neyastani A, Buckley AR, Chang SD, Legiehn GM. Uterine arteriovenous malformations. From diagnosis to treatment. J Ultrasound Med. 2006;25:1387-92.

Machado L, Raga F, Chagas K, Bonilla F, Castillo JC, Bonilla- Musoles F. La malformacion arteriovenosa uterina. Una lesión más frecuente y grave de lo sospechado. Prog Obstet Ginecol. 2010;53(1):10-7.

Peitsidis P, Manolakos E, Tsekoura V, Kreienberg R, Schwentner L. Uterine arteriovenous malformations induced after diagnostic curettage: a systematic review. Arch Gynecol Obstet. 2011;284:1137–51.

Mungen E. Vascular abnormalities of the uterus: have we recently over-diagnosed them? Ultrasound Obstet Gynecol. 2003;21:529–31.

Lai T, Wu M, Kuo , Cheng Y, Chang F. Arteriovenous malformation of the uterus after dilatation and curettage diagnosed by three-dimensional power Doppler angiography. J Med Ultrasound. 2002;10:146–50.

Wiebe ER, Switzer P. Arteriovenous malformations of the uterus associated with medical abortion. Int J Obstet Gynecol. 2000;71:155–8.

Kido A, Togashi K, Koyama T, Ito H, Tatsumi K. Retained products of conception masquerading as acquired arteriovenous malformation. J Comput Assist Tomogr. 2003;27:88–92.

Gay S, Rajan DK, Asch MR, Muradali D, Simons ME, Ter Brugge KG. Efficacy of embolization in traumatic uterine vascular malformations. J Vas Interv Radiol. 2003;14:1401-8.

Rashid M, Kirmani S. Congenital uterine arteriovenous malformation: diagnosed by color Doppler flow imaging. Eur J Radiol Extra. 2011;78:e93–e96.

Sanguin S, Lanta-Delmas S, Le Blanche A, Grardel-Chambenoit E, Merviel P, Gondry J, Fauvet R. Uterine arteriovenous malformations: diagnosis and treatment in 2011. Gynecol Obstet Fertil. 2011;39:722–7.

Syla B, Fetiu S, Tafarshiku S. Transabdominal two and three dimensional color Doppler imaging of a uterine arteriovenous malformation. Ultrasound Obstet Gynecol. 2011;37:376–8.

Rosa C, De Aguiar F, Japur A, Reis F, Poli O, Nogueira A. Conservative management of large uterine arteriovenous malformation: case report. Fertil Steril. 2008;90:2406–7.

Takeuchi K, Yamada T, Iwasa M, Mauro T. Successful medical treatment with danazol after failed embolization of uterine arteriovenous malformation. Obstet Gynecol. 2003;102:843-4.

Molvi S, Dash k, Rastogi H, Khanna S. Transcatheter embolization of uterine arteriovenous malformation: report of 2 cases and review of literature. J Minim Invasive Gynecol. 2011;18:812–9.

Timmerman D, Van den Bosch T, Peeraer K, Debrouwere E, Van Schoubroeck D, Stocks L. Vascular malformations in the uterus: ultrasonographic diagnosis and conservative management. Eur J Obstet Gynecol Reprod Biol. 2000;92:171-8.

Timmerman D, Wauters J, Van Calenberg N, Van Schoubroeck D, Maleux G, Van den Bosch T. Color Doppler imaging is a valuable tool for the diagnosis and management of uterine vascular malformations. Ultrasound Obstet Gynecol. 2003;21:570-7.

Degani S, Leibovitz Z, Shapiro I, Ohel G. Expectant management of pregnancy-related high-velocity uterine arteriovenous shunt diagnosed after abortion. Int J Obstet Gynecol. 2009;166:46–9.

Ghai S, Rajan DK, Asch MR, Muradali D, Simons ME. Efficacy of embolization in traumatic uterine vascular malformations. J Vasc Interv Radiol. 2003;14:1401–8.

Wang Z, Chen J, Shi H, Zhou K, Sun H, Li, Pan J, Zhang X, Liu W, Yang N, Jin Z. Efficacy and safety of embolization in iatrogenic traumatic uterine vascular malformations. Clin Radiol. 2012;6:541-5.

Wu YC, Liu WM, Yuan CC, Ng HT. Successful treatment of symptomatic arteriovenous malformation of the uterus using laparoscopic bipolar coagulation of uterine vessels. Fertil Steril. 2001;76(6):1270-1.