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Uterine arteriovenous malformation caused by intrauterine instrumentation for laparoscopic surgery due to left tubal pregnancy

대한산부인과학회지 2014년 57권 5호 p.419 ~ 423
 ( Chang Kylie Hae-Jin ) - Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Obstetrics and Gynecolgy

 ( Park Jong-Kyu ) - Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Obstetrics and Gynecolgy
 ( Park Sung-Ho ) - Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Obstetrics and Gynecolgy
 ( Kim Hong-Bae ) - Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Obstetrics and Gynecolgy
 ( Park Sung-Taek ) - Hallym University College of Medicine Kangnam Sacred Heart Hospital Department of Obstetrics and Gynecolgy

Abstract


Uterine arteriovenous malformation (AVM) is a rare entity in gynecology with fewer than 100 cases reported in the literature. Due to abnormal connection between arteries and veins without an intervening capillary system, recurrent and profuse vaginal bleeding is the most common symptom which can be potentially life-threatening. Uterine AVM can be either congenital or acquired. Acquired AVM is reported as a consequence of previous uterine trauma such as curettage procedures, caesarean section or pelvic surgery. It is also associated with infection, retained product of conception, gestational trophoblastic disease, malignancy and exposure to diethlystilboestrol. We herein report a case of acquired uterine AVM located on the right lateral wall after intrauterine instrumentation for laparoscopic left salpingectomy due to left tubal pregnancy. The patient was successfully treated with embolization.

키워드

Intrauterine instrumentation; Tubal pregnancy; Uterine arteriovenous malformation
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