Surgical Treatment of Uterine Arteriovenous Malformation
Makaleler > Tam Makale · 2024
Yazarlar: Cihan MUTU, Günay GAHRAMANLI, Gürdeniz SERİN, Ali AKDEMİR
Turkiye Klinikleri Journal of Case Reports, Uluslararası, 2024, cilt 32, ss 117-120
DOI: 10.5336/caserep.2024-102043
Özet
Arteriovenous malformations (AVMs) entail direct connections between arteries and veins. Uterine AVMs, in particular, are rare gynecologic vascular pathologies that can manifest either asymptomatically or with life-threatening bleeding. They may arise congenitally or, more commonly, post-myometrial trauma. While Doppler ultrasonography serves as the primary diagnostic tool today, computed tomography, magnetic resonance imaging, or angiography may also be employed. Treatment selection should be tailored to each patient, considering symptoms and fertility expectations. For patients desiring fertility, monitoring, medical therapy, or angiographic interventions are favored, whereas for those without fertility expectations, advanced age, and symptomatic disease, surgery emerges as the definitive treatment. In our case, a 45-year-old woman with a history of one previous cesarean section presented with prolonged and uncomfortable vaginal bleeding and no fertility expectations. She underwent a total laparoscopic hysterectomy and bilateral salpingooophorectomy, oophorectomy was performed according to the patient's request.