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首页> 外文期刊>The journal of obstetrics and gynaecology research >Acquired uterine arteriovenous malformation developing in retained products of conception: A diagnostic dilemma
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Acquired uterine arteriovenous malformation developing in retained products of conception: A diagnostic dilemma

机译：在保留的受孕产物中发生的获得性子宫动静脉畸形：诊断难题

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摘要

Abnormal uterine bleeding in the postabortal period requires meticulous diagnostic work-up to decide proper management. Imaging modalities including Doppler sonography and magnetic resonance imaging in concert with clinical and laboratory findings are useful to narrow the differential diagnoses but are not definitive. Presence of increased uterine vascularity and arteriovenous shunting is non-specific and can be detected in a variety of conditions including retained trophoblastic tissue, gestational trophoblastic disease, arteriovenous malformation (AVM), placental polyp and vascular neoplasm.We present here a case of a multiparous woman with unexplained postabortal bleeding posing a diagnostic challenge. Excluding the possibility of AVMbefore attempting dilatation and curettage in such a clinical scenario is crucial to prevent catastrophic bleeding.
机译：产后子宫异常出血需要仔细的诊断检查以决定适当的治疗方法。包括多普勒超声检查和磁共振成像以及临床和实验室检查结果在内的影像学检查方法有助于缩小鉴别诊断的范围，但不是确定的。子宫血管增生和动静脉分流的存在是非特异性的，可以在多种情况下检测到，包括保留的滋养细胞组织，妊娠滋养细胞疾病，动静脉畸形（AVM），胎盘息肉和血管赘生物。的原因不明的产后出血对诊断构成了挑战。在这种临床情况下，在尝试扩张和刮除术之前排除AVM的可能性对于预防灾难性出血至关重要。

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