Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3959604 | Journal of Minimally Invasive Gynecology | 2010 | 6 Pages |
Abstract
Uterine hemorrhage is a major complication associated with abortion. There are various causes of postabortion uterine hemorrhage. The objective of this article is to estimate the efficacy of three-dimensional computed tomography (3D-CT) angiography in the diagnosis of this condition. We present 3 case reports of women with massive genital bleeding after abortion. 3D-CT angiography clearly demonstrated the 3-D features of the feeding artery, the draining vein, and the surrounding normal structures. The diagnosis in patient 1 was a uterine arteriovenous malformation, in patient 2 was a placental polyp mimicking a uterine arteriovenous malformation, and in patient 3 was a placental polyp. Patients were all successfully treated with uterine artery embolization or transcervical resection of the placental polyp. We conclude that 3D-CT angiography is useful for making a differential diagnosis and for preoperative planning in patients with postabortion uterine hemorrhage.
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Authors
Tomokazu MD, Akira MD, Toyohiro MD, Kojiro MD, Akiko MD, Tatsuo MD, Sachiko MD, Hiroharu MD, Shuichi MD, Kyosuke MD, Maki MD, Fumitaka MD,