Uterine arteriovenous fistula as a long-term complication of hysterectomy: presentation and management.

Abstract:

BACKGROUND:A rare complication of hysterectomy is the formation of a high-flow fistula between the uterine artery and uterine vein. Historically, these lesions were treated surgically. CASE:Two women with histories including hysterectomy presented with symptoms and physical examination signs suggestive of uterine arteriovenous fistulae. After arteriographic diagnostic confirmation, both women were treated successfully with endovascular embolization. CONCLUSION:A palpable, pulsatile pelvic mass in a patient with a history of hysterectomy should prompt referral for radiographic evaluation of a possible pelvic arteriovenous fistula. Selective arterial embolization may be considered an option for treatment of this entity.

journal_name

Obstet Gynecol

authors

Sharma A,Vogelzang RL

doi

10.1097/AOG.0b013e3181834660

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

489-491

issue

2 Pt 2

eissn

0029-7844

issn

1873-233X

pii

00006250-200902001-00007

journal_volume

113

pub_type

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