Challenges in the Management of Postmenopausal Uterine Artery Venous Malformation.

IF 1 Q3 OBSTETRICS & GYNECOLOGY
Journal of Mid-life Health Pub Date : 2024-10-01 Epub Date: 2025-01-02 DOI:10.4103/jmh.jmh_178_24
Pooja Sahu, Deepthy Balakrishnan, Ranjan K Patel, Tara Prasad Tripathy
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引用次数: 0

Abstract

Uterine arteriovenous malformation (UAVM) is an infrequent occurrence among postmenopausal women. Our review of the literature revealed only a few documented cases of UAVM in this demographic. Treatment options for these patients encompass uterine artery embolization (UAE), medical management, and hysterectomy. We encountered a case involving a 54-year-old woman, postmenopausal for 9 years, who presented with a history of postmenopausal bleeding over the preceding 3 months. Imaging studies confirmed the presence of UAVM. Despite an attempted UAE, the procedure proved unsuccessful, leading to the decision to perform a hysterectomy with meticulous attention to minimizing blood loss. Notably, UAE may not consistently achieve favorable outcomes in addressing UAVM in postmenopausal women, thereby underscoring the consideration of hysterectomy as a safe alternative - treatment option without any excessive intraoperative bleeding.

Abstract Image

Abstract Image

Abstract Image

绝经后子宫动静脉畸形治疗的挑战。
子宫动静脉畸形(UAVM)是一种罕见的发生在绝经后妇女。我们对文献的回顾显示,在这一人群中,只有少数记录在案的UAVM病例。这些患者的治疗选择包括子宫动脉栓塞(UAE)、医疗管理和子宫切除术。我们遇到了一个54岁的妇女,绝经9年,在绝经前3个月有出血史。影像学检查证实了UAVM的存在。尽管尝试了阿联酋手术,但手术失败了,因此决定进行子宫切除术,并一丝不苟地注意尽量减少失血。值得注意的是,在绝经后妇女中,子宫切除术可能并不总是能取得良好的结果,因此强调子宫切除术作为一种安全的替代治疗选择,没有任何术中过多出血。
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来源期刊
Journal of Mid-life Health
Journal of Mid-life Health Social Sciences-Health (social science)
CiteScore
1.70
自引率
9.10%
发文量
39
审稿时长
43 weeks
期刊介绍: Journal of mid-life health is the official journal of the Indian Menopause society published Quarterly in January, April, July and October. It is peer reviewed, scientific journal of mid-life health and its problems. It includes all aspects of mid-life health, preventive as well as curative. The journal publishes on subjects such as gynecology, neurology, geriatrics, psychiatry, endocrinology, urology, andrology, psychology, healthy ageing, cardiovascular health, bone health, quality of life etc. as relevant of men and women in their midlife. The Journal provides a visible platform to the researchers as well as clinicians to publish their experiences in this area thereby helping in the promotion of mid-life health leading to healthy ageing, growing need due to increasing life expectancy. The Editorial team has maintained high standards and published original research papers, case reports and review articles from the best of the best contributors both national & international, consistently so that now, it has become a great tool in the hands of menopause practitioners.
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