PDF(Pubmed)
Abstract：
We review the case of an unstable gynaecological patient in the USA who presented with profuse vaginal bleeding after spontaneous miscarriage and was ultimately diagnosed with a uterine arteriovenous malformation managed with interventional radiology embolisation of her uterine artery. Her case was complicated by the presence of an ankle monitoring device which had been placed by US Immigration and Customs Enforcement as part of the Alternatives to Detention programme in which she was enrolled during her immigration proceedings. The device prompted important considerations regarding the potential use of cautery, MRI compatibility and device-related trauma, in addition to causing significant anxiety for the patient, who was concerned about how the team\'s actions could affect her immigration case. Discussion of her course and shared perspective highlights the unique clinical and medicolegal considerations presented by the expanded use of ankle monitoring devices for electronic surveillance (or \'e-carceration\') of non-violent immigrants and others.
摘要：
我们回顾了美国一名不稳定的妇科患者的病例，该患者在自发性流产后出现大量阴道出血，并最终被诊断为子宫动静脉畸形，并通过介入放射学栓塞子宫动脉进行了治疗。她的案件因存在脚踝监测装置而变得复杂，该装置是美国移民和海关执法局在移民程序中登记的“替代拘留方案”的一部分。该装置引起了有关烧灼的潜在用途的重要考虑，MRI兼容性和器械相关创伤,除了给病人带来严重的焦虑之外，她担心团队的行动会如何影响她的移民案件。对她的课程和共同观点的讨论强调了通过扩大使用踝关节监测设备对非暴力移民和其他人进行电子监视（或“电子carceration”）提出的独特的临床和法医学考虑。
