Restricted accessResearch articleFirst published online 2019-12-17
Uterine arteriovenous malformation combined with iliac arteriovenous malformation diagnosed by contrast-enhanced ultrasound: A case report and review of the literature
Uterine arteriovenous malformation (AVM) is an extremely rare condition characterized by abnormal connections between veins and arteries. The atypical clinical manifestations and relatively low morbidity of AVM are conducive to missed diagnosis. The present study describes a case of a 47-year-old female patient with congenital uterine AVM followed by iatrogenic AVM. The diagnosis was established by contrast-enhanced ultrasound combined with contrast-enhanced CT (CECT). Because the symptom of vaginal bleeding was severe, trophoblastic disease or neoplasia could be preferred. The manifestations on various imaging examinations were carefully assessed, and the relevant literature was also reviewed.
PeitsidisP, ManolakosE, TsekouraV, KreienbergR, SchwentnerL. Uterine arteriovenous malformations induced after diagnostic curettage: A systematic review. Arch Gynecol Obstet. 2011;284(5):1137–51.
2.
GrivellRM, ReidKM, MellorA. Uterine arteriovenous malformation: A review of the current literature. Obstet Gynecol Surv. 2005;60(11):761–7.
3.
WärmeA, HadimeriU, HadimeriH, NasicS, StegmayrB. High doses of erythropoietin stimulating agents may be a risk factor for AV-fistula stenosis. Clin Hemorheol Microcirc. 2018. doi: 10.3233/CH-180381
4.
ZhuYP, SunZJ, LangJH, PanJ. Clinical Characteristic and Management of Acquired Uterine Arteriovenous Malformation. Chin Med J (Engl). 2018;131(20):2489–91.
5.
GhizzoniV,
GabbrielliS,
ManniniL,
SorbiF,
TurriniI,
FantappièG. Spontaneous Resolution of an Acquired Uterine Arteriovenous Malformation in an Elderly Primigravida. Am J Case Rep. 2018;19:1140–45.
6.
O’BrienP, NeyatataniA, BuckleyAR, ChangSD,
LegiehnGM. Uterine arteriovenous malformations from diagnosis to treatment. J Ultrasound Med. 2006;25(11):1387–92.
7.
ClaudonMichelDietrichChristoph FChoiByung IhnCosgroveDavid OMasatoshiKudoNolsøeChristian P, et al. Guidelines and good clinical practice recommendations for Contrast Enhanced Ultrasound (CEUS) in the liver – update 2012: A WFUMB-EFSUMB initiative in cooperation with representatives of AFSUMB, AIUM, ASUM, FLAUS and ICUS. Ultrasound Med Biol. 2013;39(2):187–210.
8.
GreisC. Technical aspects of contrast-enhanced ultrasound (CEUS) examinations: Tips and tricks. Clin Hemorheol Microcirc. 2014;58(1):89–95.
9.
ZhuX, ZhouJ, ZhaiL. Imaging and Laparoscopic Findings in a Patient with Congenital Uterine Arteriovenous Malformation. J Minim Invasive Gynecol. 2018.
FrenckenVA, LandmanGH. Cirsoid aneurysm of the uterus: Specific arteriographic diagnosis; report of a case. Am J Roentgenol Radium Ther Nucl Med. 1965;95(3):775–81.
12.
CockshottWP, HendrickseJP. Persistent arteriovenous fistulae following chemotherapy of malignant trophoblastic disease. Radiology. 1967;88(2):329–33.
PeitsidisPanagiotis,
ManolakosEmmanouil,
TsekouraVasiliki,
KreienbergRolf,
SchwentnerLukas. Uterine arteriovenous malformations induced after diagnostic curettage: A systematic review. Arch Gynecol Obstet. 2011;284(5):1137–51.
15.
DarP, KarminI, EinsteinMH. Arteriovenous malformations of the uterus: Long-term follow-up. Gynecol Obstet Invest. 2008;66(3):157–61.
16.
GhiT,
GiunchiS,
RossiC,
PiluG,
SavelliL,
MolloF,
PelusiG. Three-dimensional power Doppler sonography in the diagnosis of arteriovenous malformation of the uterus. J Ultrasound Med. 2005;24(5):727–31.
SanguinS, Lanta-DelmasS, Le BlancheA, Grardel-ChambenoitE, MervielP, GondryJ, et al. Uterine arteriovenous malformations: Diagnosis and treatment in 2011. Gynecol Obstet Fertil. 2011;39(12):722–7.
19.
BrownJohn V,
AsratTamerou,
EpsteinHoward D,
OglevieSteven,
GoldsteinBram H. Contemporary diagnosis and management of a uterine arteriovenous malformation. Obstet Gynecol. 2008;112(2):467–70.
20.
TeuschVI, PiehlerAP, UllerW, Müller-WilleR, PrantlL, StroszczynskiC, et al. Value of different ultrasound elastography techniques in patients with venous malformations prior to and after sclerotherapy. Clin Hemorheol Microcirc. 2017;66(4):347–55.
21.
HadimeriU, WärmeA, StegmayrB. A single treatment, using Far Infrared light improves blood flow conditions in arteriovenous fistula. Clin Hemorheol Microcirc. 2017;66(3):211–7. doi: 10.3233/CH-170254
22.
WiesingerI, JungW, ZausigN, WohlgemuthWA, PreglerB, WiggermannP, et al. Evaluation of dynamic effects of therapy-induced changes in microcirculation after percutaneous treatment of vascular malformations using contrast-enhanced ultrasound (CEUS) and time intensity curve (TIC) analyses. Clin Hemorheol Microcirc. 2018;69(1-2):45–57.
