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Title: Vascular malformations in the uterus: ultrasonographic diagnosis and conservative management
Authors: Timmerman, Dirk ×
Van den Bosch, T
Peeraer, K
Debrouwere, E
Van Schoubroeck, Dominique
Stockx, L
Spitz, Bernard #
Issue Date: Sep-2000
Series Title: European Journal of Obstetrics & Gynecology and Reproductive Biology vol:92 issue:1 pages:171-8
Abstract: OBJECTIVE: To investigate the presence and outcome of uterine vascular malformations in women with abnormal premenopausal bleeding. STUDY DESIGN: In this observational study 265 consecutive patients with abnormal premenopausal bleeding were examined by the same ultrasonographer with transvaginal gray-scale ultrasonography and color Doppler imaging. A final diagnosis of uterine vascular malformation was based on ultrasonographic findings, hysteroscopy or histological findings. Patients suspected of uterine vascular malformations at ultrasonography were closely monitored. RESULTS: In nine patients (3.4%) we found ultrasonographic features of uterine vascular malformations. Color Doppler imaging showed hypervascularity, marked turbulence, and low-impedance, high-velocity flow. In six patients the condition resolved spontaneously. Two patients with hydatiform mole needed chemotherapy and their condition normalized. One patient underwent a selective embolization of the uterine artery. Subsequently, five patients had uncomplicated pregnancies after resolution of the vascular malformation. CONCLUSION: Uterine vascular malformations are more common than previously thought. We conclude that conservative management is a valuable option in many of the acquired pregnancy-related cases that are diagnosed with color Doppler imaging.
ISSN: 0301-2115
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Basic Research in Gynaecology Section (-)
Pathophysiology of Pregnancy Section (-)
× corresponding author
# (joint) last author

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