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Uterine arteriovenous malformation: a case report diagnosed by sonohysterography
A Corticelli1, M Podestà, L Pedretti
1Obstetrics and Gynecology Department, Lavagna Hospital, Lavagna, Italy.
Purpose Of Investigation:
The aim of this report is to describe a case of uterine arteriovenous malformation that occurred in a 54-year-old postmenopausal woman referring recurrent postmenopausal bleeding, after two years of tamoxifen therapy.
Methods:
Medical therapy with GnRh agonists was unsuccessful. Ultrasound and Doppler flow ultrasound scanning were normal and the following hysteroscopy was normal as well.
Results:
Hysterosonography performed on the patient made us suspect the presence of an intracavitary vascular lesion which was confirmed histologically after hysterectomy.
Conclusion:
In our case hysterosonography allowed us--by creating optimal contrast between the uterine wall and the uterine cavity--to suspect and identify the lesion and to recognize the typical ultrasound findings of this pathology not visualized with standard transvaginal ultrasound.
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