Medical treatment of uterine arteriovenous malformation

Khatree, M. H. and Titiz, H. (1999) Medical treatment of uterine arteriovenous malformation. Australian & New Zealand Journal of Obstetrics and Gynaecology, 39 3: 378-380. doi:10.1111/j.1479-828X.1999.tb03424.x

Author Khatree, M. H.
Titiz, H.
Title Medical treatment of uterine arteriovenous malformation
Journal name Australian & New Zealand Journal of Obstetrics and Gynaecology   Check publisher's open access policy
ISSN 0004-8666
Publication date 1999-08
Sub-type Article (original research)
DOI 10.1111/j.1479-828X.1999.tb03424.x
Volume 39
Issue 3
Start page 378
End page 380
Total pages 3
Place of publication Melbourne, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 1999
Language eng
Subject C3
321014 Obstetrics and Gynaecology
730100 Clinical (Organs, Diseases and Abnormal Conditions)
Formatted abstract
A 32-year-old woman presented to the gynaecological clinic in July, 1998 having been referred by her general practitioner with a problem of abnormal vaginal bleeding. She had had 3 previous vaginal deliveries and 2 terminations of pregnancy in 1984 and April, 1998 respectively.

The patient stated that she had small amounts of continuous vaginal bleeding since the last termination of pregnancy. Her previous menstrual cycle was normal. She was not using any contraception or medication of any sort. There was no relevant medical or surgical problem in the past.

General examination was normal. Vaginal examination showed that the uterus was normal in size, anteverted, mobile and nontender. There were no adnexal masses. The cervix was normal and at the time of examination there was no vaginal bleeding. A full blood count was done which showed the haemoglobin value to be 13.7g/dL. The patient had had an ultrasound examination which was requested by her general practitioner. This showed a hypoechoic uterine mass measuring 2.5 x 2.0 x 0.5 cm. A colour Doppler was then done and this showed both arterial and venous flow consistent with an arteriovenous malformation.

The diagnosis was explained to the patient and the treatment options were discussed. Although most of the literature suggests hysterectomy as the treatment of choice when the patient is symptomatic and does not want to preserve her fertility, she elected to be treated conservatively. A combined oral contraceptive pill with 50ug ethinyl oestradiol (Microgynon 50) was prescribed. She was reviewed at monthly intervals to assess any abnormal bleeding but she was well. After 3 months of treatment another colour Doppler ultrasound examination was done and this showed that the hypoechoic mass had regressed. The patient continued with the pill and remained free from future abnormal bleeding at 5 months of follow-up.
Q-Index Code C3

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Created: Tue, 10 Jun 2008, 14:55:10 EST