IMR Press / CEOG / Volume 43 / Issue 4 / DOI: 10.12891/ceog3038.2016
Open Access Case Report
Uterine arteriovenous fistula after perforation during the placement of an intrauterine device – Minimally invasive treatment using uterine artery embolization
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1 Department of Gynecology, Sugisawa Medical Center, Curitiba, Paraná
2 Department of Vascular Surgery Instituto da Circulação, Curitiba, Paraná; Marcelino Champagnat Hospital, Curitiba, Paraná (Brazil)
Clin. Exp. Obstet. Gynecol. 2016 , 43(4), 602–605; https://doi.org/10.12891/ceog3038.2016
Published: 10 August 2016
Abstract

Uterine arteriovenous fistula (AVF) is a rare, but potentially life-threatening condition. Acquired fistulae may occur as a result of trauma or instrumentation, endometrial carcinoma, gestational trophoblastic disease, and intrauterine devices (IUDs). Herein the authors present the case of a 33-year-old woman with a uterine AVF developing after uterine perforation during the placement of a levonorgestrel IUD. The fistula was diagnosed using color Doppler ultrasonography and angiography and the treatment was conducted by minimally invasive approach using uterine artery embolization.
Keywords
Uterine arteriovenous malformation
Arteriovenous fistula
Intrauterine device
Uterine artery embolization
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