关键词: Persistent ectopic pregnancy Pregnancy residue Uterine arteriovenous malformation

Mesh : Adult Female Humans Pregnancy Arteriovenous Malformations / diagnostic imaging surgery Placenta / pathology Pregnancy, Cornual / pathology Uterine Artery / diagnostic imaging pathology Uterus / diagnostic imaging Arteriovenous Shunt, Surgical

来  源:   DOI:10.1186/s12905-023-02450-9   PDF(Pubmed)

Abstract:
Uterine arteriovenous malformation(AVM) refers to the abnormal direct traffic between uterine arteries and veins, which can be characterized by the imaging examination, showing increased uterine vascularity and arteriovenous shunting. However, similar imaging manifestations can also be seen in a variety of conditions including retained production of conception, gestational trophoblastic disease, placental polyp, and vascular neoplasm.
Here we present a case of a 42-year-old woman who was suspected of suffering uterine AVM indicated by Doppler sonography and magnetic resonance imaging but was finally diagnosed with a persistent ectopic pregnancy located on the right uterine corner by pathology after laparoscopy. She recovered well after surgery.
Uterine AVM is a rare and serious condition. In general, it presents special radiological manifestations. However, when complicated with other diseases it can also be distorting. Standardized diagnosis and management are important.
摘要:
背景:子宫动静脉畸形(AVM)是指子宫动脉和静脉之间的异常直接交通,可以通过成像检查来表征,显示子宫血管增加和动静脉分流。然而,类似的影像学表现也可以在各种条件下看到,包括保留生产的概念,妊娠滋养细胞疾病,胎盘息肉,和血管肿瘤。
方法:这里我们介绍一例42岁女性患者,该患者被怀疑患有子宫AVM,经多普勒超声和磁共振成像显示,但最终经腹腔镜检查后病理诊断为位于子宫右角的持续性异位妊娠。手术后她恢复得很好。
结论:子宫AVM是一种罕见且严重的疾病。总的来说,它表现出特殊的放射学表现。然而,当并发其他疾病时,它也可能扭曲。规范化的诊断和管理非常重要。
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