SAVE LIFE- SAVE UTERUS


Posted June 8, 2021 by askdrdevu

Dr Sridhar Devu is a Consultant Interventional Radiologist. He has over 11 years of experience in the field of Radio Diagnosis

 
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
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Country India
Categories Government , Health , Home
Tags bleeding ectopic pregnancy , iliac artery angiogram , left internal iliacarteryangiogram , right internal iliacarteryangiogram
Last Updated June 8, 2021