SAVE LIFE- SAVE UTERUS

AVOID HYSTERECTOMY WITH DAY CARE KEY HOLE ENDO-VASCULAR SURGERY

TRUE INCIDENT

  • 28 year old mother of 3 year old girl.
  • Had a miscarriage 3 months ago, treated with D&C (Dilatation and Curettage).
  • Presented to emergency with severe PV bleeding and drop in haemoglobin by 4 units.
  • Ultrasound scanning diagnoses acquired arteriovenous malformation( Abnormal vessels developed due to prior miscarriage and its treatment)


WHATS THE TREATMENT ?
Beyond Surgery
1.Emergency hysterectomy was contemplated.
2.But she want to retain her uterus for second child.
3.Any thing apart from Surgical removal of uterus?


LEFT INTERNAL ILIAC ARTERY ANGIOGRAM

  • HYPERTROPHIED UTERINE ARTERY WITH ABNORMAL BLUSH ( LEAKAGE)

  • POST EMBOLISATION
  • NO RESIDUAL BLUSH AND THUS STOPPED BLEEDING

  • RIGHT INTERNAL ILIAC ARTERY ANGIOGRAM

  • HYPERTROPHIED UTERINE ARTERY WITH ABNORMAL BLUSH ( LEAKAGE)

  • POST EMBOLISATION
  • NO RESIDUAL BLUSH AND THUS STOPPED BLEEDING

  • WHO CAN BENEFIT FROM UTERINE ARTERY EMBOLISATION?

  • Symptomatic Fibroids(Leiomyoma) : Pain, frequent micturition, Constipation, severe bleeding , frequent miscarriages
  • Adenomyosis : Abnormally located uterine lining in the walls of uterus causing severe and painful menstruation Bleeding Ectopic Pregnancy
  • Post partum haemorrhage: Abnormal placental

  • For more Information
    ……about uterine artery embolisation and other organ preserving surgeries…

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