A Case of Surgical Arterial Ligation in Combination with Transarterial Embolization in the Management of Recurrent Uterine Arteriovenous Malformation.

Seo, Jeung Ho; Ahn, Soo Hong; Lee, Young Gi; Lee, Doo Jin; Lee, Sung Ho

Case Report

Korean Journal of Obstetrics & Gynecology 1997;40(1):209-214.
Published online January 1, 2001.

A Case of Surgical Arterial Ligation in Combination with Transarterial Embolization in the Management of Recurrent Uterine Arteriovenous Malformation.

Jeung Ho Seo, Soo Hong Ahn, Young Gi Lee, Doo Jin Lee, Sung Ho Lee

Abstract

Although uterine arterovenous malformation(AVM) is a rare cause of menorrhagia or postmenopausal bleeding, it is important to consider that curettage may precipitate life-threatening hemorrhage and therefore it is contraindicated when AVM is suspected. Special investigations such as hysteroscopy, Doppler flow ultrasound and angiography are important diagnostic tools, and transarterial embolization(TAE) has replaced hysterectomy as the treatment of choice in women who wish to retain their fertility. But due to the high incidence of collateral vessels, recurrence of the vascular malformation after TAE is common. We have experienced two cases of AVM, one of which was managed by TAE in combination with surgical arterial ligation.

Key Words: Arteriovenous malformation of uterus, Arterial ligation, Transarterial embolization