Local Time : 10:11 CET

C-2545 - Uterine arteriovenous malformation (cirsoid aneurysm) : from diagnostic to treatment

G. Vesselle1, A. Gérard2, G. Herpe1, S. Velasco1, J. Tasu1; 1 Poitiers/FR 2 La Rochelle/FR Type: Educational Exhibit
Area of Interests: Interventional vascular, Obstetrics (Pregnancy / birth / postnatal period), Genital / Reproductive system female
Imaging Techniques: Catheter arteriography, MR-Angiography, CT
Procedures: Socio-economic issues, Diagnostic procedure, Embolisation
Special Focuses: Aneurysms, Arteriovenous malformations, Epidemiology
Please note: This poster is part of the session VoE 20 - French on Friday, March 3, 14:00 - 15:00 Add poster to my schedule In your schedule (remove)

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Learning objectives: Familiarization with this uncommon medical issue Understand risk factors, physiopathology and medical history   Be able to confirm the diagnosis without over-diagnose them.    Have a practical approach to the endovascular embolization treatment procedure

Background: Uterine arteriovenous malformation (UAVM) is a rare but potentially life threatening cause of genital haemorrhage. Besides the risks of bleeding, it may cause fertility impairment and functional symptoms.   Usually suspected by gynaecologists with ultrasound, confirmation of diagnosis and[...]

Findings and procedure details:     We report 5 recent cases of UAVM in young women   Case n°1. Mrs A, 26 yo. - G2P1. - One caesarian section. - Bleeding for 2 months without anemia after one curettage for miscarriage. - hCG level in normal limit. - Embolization with success   Case n°2. Mrs E, 26 yo. - G[...]

Conclusion: These cases and the literature review confirmed the difficulty to make the correct diagnosis of UAVM without overdiagnosis since the persistence of products of conception may present UAVM -like aspect on US, explained by the true AV exchanges between trophoblast and uterus. It highlights the abs[...]

Personal information:

References: Vijayakumar A, Srinivas A, Chandrashekar BM, Vijayakumar A. Uterine vascular lesions. Rev Obstet Gynecol. 2013;6(2):69–79. O’Brien P, Neyastani A, Buckley AR, Chang SD, Legiehn GM. Uterine Arteriovenous Malformations From Diagnosis to Treatment. J Ultrasound Med. 2006 Nov 1;25(11):1387–92. Barral P-[...]

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