- 期刊
Successful Treatment of Uterine Arteriovenous Malformation with Percutaneous Embolization
並列摘要
Objective: Uterine arteriovenous malformation (AVM) is a rare condition and can be life-threatening if not managed properly. We report a case that was diagnosed by typical ultrasound imaging and treated successfully with uterine arterial embolization. Case Report: A 28-year-old female, gravida 4, para 3, abortus 1, presented with massive vaginal bleeding 19 days after a termination of pregnancy due to fetal anomaly. After a dilatation and curettage 3 years previously, typical ultrasound image findings and a declining pattern of serum β-hCG (human chorionic gonadotrophin), acquired AVM was highly suspected. The patient underwent bilateral uterine arterial embolization. Four weeks later, there was nearly complete resolution of the AVM and the patient's menstrual cycle was restored 6 weeks after embolization. Conclusion: AVM can be diagnosed at an early stage with the aid of history taking and ultrasound. Percutaneous embolotherapy is a safe and effective treatment for AVM, especially when fertility preservation is desired.
延伸閱讀
- Tsang, Y. M., Au, W. Y., Tang, T. W., Chineg, P. U., Hsu, J. C., Huang, K. M., Wei, T. C., & Lee, T. Y. (1986). Transcatheter Embolization Therapy for Hepatocellular Carcinoma with Prominent Arteriovenous Shunt. 中華放射線醫學雜誌, 11(3), 233-238. https://www.airitilibrary.com/Article/Detail?DocID=10188940-198609-11-3-233-238-a
- 陳伊呈、溫高榮、蔡明忠、張克中、王本欽、萬漢雷（1993）。Surgical Treatment of a Massive Cervical Arteriovenous Malformation-a case report。中華民國重建整形外科醫學會雜誌，2(2)，26-32。https://doi.org/10.7096/JPRSA.199309.0026
- 陳伃凡、蕭名謙、蕭文田、李正輝（2022）。Clinical Application of Onyx Embolization in the Treatment of Dural Arteriovenous。台灣應用輻射與同位素雜誌，18(4)，2213-2218。https://www.airitilibrary.com/Article/Detail?DocID=18156290-N202301180010-00001
- Chien, S. C., Lo, C. Y., & Wei, M. C. (2007). Rupture of Uterine Arteriovenous Malformation as a Cause of Severe Menorrhagia. Taiwanese Journal of Obstetrics & Gynecology, 46(3), 314-316. https://doi.org/10.29787/TJOG.200709.0044
- Chien, S. C., Lo, C. Y., & Wei, M. C. (2007). Rupture of Uterine Arteriovenous Malformation as a Cause of Severe Menorrhagia. Taiwanese Journal of Obstetrics & Gynecology, 46(3), 314-316. https://doi.org/10.29787/TJOG.200709.0043