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Background: This study aimed to summarize the characteristics of uterine arteriovenous fistul for proper treatment.
Methods: This was a retrospective study of fourteen women diagnosed with uterine arteriovenous fistul and eventually proved by pelvic angiography at our department,.
Results: Six women presented with late postpartum hemorrhage and the other seven had abnormal uterine bleeding while only one was asymptomatic.The majority of them had uterine manipulation with the most common being repeated dilation and curettage but the time interval ranged from more than ten days to months even several years. they could originate from ovarian artery or internal iliac artery in rare cases and even some cases showed uterine artery- ovarian vein fistul. Most of them had a good outcome with bleeding resolved or mild bleeding after arterial embolization with controllable fever and pain, and only three cases had surgery unsuitable for embolization or formation of traffic branch after embolization.
Conclusions: uterine arteriovenous fistul were rare but easy to be diagnosed with characteristic ultrasound findings along medical history such as D&G and feature of vaginal bleeding. A successful treatment for artery embolization was based on careful evaluated vessels mapped by angiography while a comprehensive assessment with color and spectral flow Doppler was very necessary to exclude retained products of conception or placenta and avert unnecessary D&G after embolization. Surgical therapy was the last choice in women difficult to embolism or failed with UAE.
Keywords
Uterine Arteriovenous Fistula, Vaginal bleeding,uterine arteriovenous malformations,dilation and curettage,UAE
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CURRENT STATUS: Under Review
Version 1
Posted 25 Mar, 2020
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On 23 Mar, 2020
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On 23 Mar, 2020
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Subject Areas
Surgical Obstetrics & Gynecology
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A new preprint design is coming!
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This preprint is under consideration at European Journal of Medical Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 25 Mar, 2020
No community comments so far
First submitted
On 23 Mar, 2020
Editor assigned
On 23 Mar, 2020
Submission checks complete
On 22 Mar, 2020
Editor invited
On 22 Mar, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Surgical Obstetrics & Gynecology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: This study aimed to summarize the characteristics of uterine arteriovenous fistul for proper treatment.
Methods: This was a retrospective study of fourteen women diagnosed with uterine arteriovenous fistul and eventually proved by pelvic angiography at our department,.
Results: Six women presented with late postpartum hemorrhage and the other seven had abnormal uterine bleeding while only one was asymptomatic.The majority of them had uterine manipulation with the most common being repeated dilation and curettage but the time interval ranged from more than ten days to months even several years. they could originate from ovarian artery or internal iliac artery in rare cases and even some cases showed uterine artery- ovarian vein fistul. Most of them had a good outcome with bleeding resolved or mild bleeding after arterial embolization with controllable fever and pain, and only three cases had surgery unsuitable for embolization or formation of traffic branch after embolization.
Conclusions: uterine arteriovenous fistul were rare but easy to be diagnosed with characteristic ultrasound findings along medical history such as D&G and feature of vaginal bleeding. A successful treatment for artery embolization was based on careful evaluated vessels mapped by angiography while a comprehensive assessment with color and spectral flow Doppler was very necessary to exclude retained products of conception or placenta and avert unnecessary D&G after embolization. Surgical therapy was the last choice in women difficult to embolism or failed with UAE.
Figure 1
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