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International Journal of Fertility and Sterility، جلد ۱۹، شماره ۴، صفحات ۴۴۲-۴۴۵
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عنوان انگلیسی Could Hypogastric Artery Ligation Be An Alternative To Artery Embolization For Managing Vaginal Bleeding? A Case Report
چکیده انگلیسی مقاله Uterine arteriovenous malformation (AVM) is an uncommon yet potentially life-threatening condition characterized
by significant vaginal hemorrhage. Diagnosis can be established through various imaging modalities, including doppler
ultrasound, magnetic resonance imaging (MRI), computed tomography (CT), or pelvic angiography. The choice
of treatment is influenced by several factors, including the patient’s age, clinical symptoms, reproductive aspirations,
and the size and anatomical location of the malformation. For symptomatic AVM in patients of reproductive age who
wish to preserve fertility, uterine artery embolization (UAE) is considered the preferred therapeutic approach. This
article is about the management of resistant vaginal bleeding after unsuccessful uterine artery embolization. This
report presents a case of uterine AVM in a 32-year-old female who experienced abnormal vaginal bleeding following
an induced abortion. The diagnosis of uterine AVM was confirmed via doppler ultrasonography. Although bilateral
UAE was performed, the patient continued to experience significant vaginal bleeding. Following the unsuccessful
embolization procedure, the patient was effectively managed through bilateral hypogastric artery ligation. Abnormal
vaginal bleeding may be indicative of uterine AVM, particularly in individuals with a history of cesarean delivery,
induced abortion, or dilation and curettage (D/C) procedures. While transcatheter UAE is generally an effective treatment,
it may not succeed in all cases.
کلیدواژه‌های انگلیسی مقاله Angiography,Doppler Ultrasonography,Therapeutic embolization
نویسندگان مقاله Seyedeh Azam Pourhoseini |
Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Malihe Mahmoudinia |
Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Mona Jafari |
Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Shadi Moloughi |
Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

نشانی اینترنتی https://www.ijfs.ir/article_721131_695cd57b4c675db0ec63301a50f2791e.pdf
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