Successful treatment of female patient at risk of hysterectomy

DNO - After prolonged vaginal bleeding, Ms. KV (35 years old) was diagnosed with uterine arteriovenous fistula, a type of blood vessel abnormality that can threaten fertility and life if not treated promptly.

Patient KV (middle) is in stable health after treatment at Gia Dinh General Hospital. Photo: FAMILY

One month after the miscarriage at week 20, Ms. KV had to be hospitalized at Family General Hospital (FAMILY) due to massive vaginal bleeding.

Through examination, the doctor discovered a complex tubular structure in the uterine muscle with turbulent, high-velocity flow, which is a sign of suspected uterine arteriovenous fistula.

To determine the exact cause, the patient was ordered to have an abdominal CT scan with contrast. The results showed an arteriovenous fistula located in the uterine body, measuring approximately 4.5x4.7cm.

After multidisciplinary consultation, the doctor agreed to choose selective uterine artery occlusion under digital subtraction angiography (DSA) to treat the patient.

After more than 1 hour, with the support of the DSA system, the doctor quickly determined the location of the arteriovenous fistula. The abnormal vein was located in the uterine body area, supplied with blood by many branches of the left uterine artery. The vein was dilated and twisted, making it difficult to observe.

After the intervention, the patient's health was stable, the abnormal vaginal bleeding gradually decreased, and the uterus was preserved intact. Ms. KV's health recovered and she was discharged from the hospital.

Uterine arteriovenous fistula is an abnormal communication between the blood vessels of the uterus. The most common symptom is abnormal vaginal bleeding. The condition can cause massive bleeding, especially in women of reproductive age.

If not detected and treated properly, the patient may have to have a hysterectomy to control bleeding, affecting the ability to conceive, physical and psychological health.

Source: https://baodanang.vn/chua-tri-thanh-cong-nu-benh-nhan-co-nguy-co-cat-bo-tu-cung-3300695.html