Figen PALABIYIK, ARDA KAYHAN, Serdar SERİNSÖZ, Elif HOCAOĞLU, Sibel BAYRAMOĞLU

Perimenapozal olguda rastlantısal olarak saptanan uterin arteriyovenöz fistül : Us, renkli doppler US ve BT bulguları

Uterin vasküler lezyonlar, nadir izlenen ancak hayatı tehdit edebilecek vasküler patolojilerdir. Arteriyovenöz malformasyon (AVM), pre ve postmenapozal olgularda, en sık olarak nedeni bilinmeyen vajinal kanama ile ortaya çıkmakla birlikte asemptomatik kitle ile de karakterize olabilir. Uterin AVM tanısında altın standart anjiyografi olmakla birlikte, bu olgularda ultrasonografi (US) ve renkli Doppler US (RDUS) ilk planlanması gereken görüntüleme yöntemleri olup, ek olarak bilgisayarlı tomografi ( BT) ve manyetik rezonans görüntülemeler (MRG) de tanıya destek olmaktadır. Olgu sunumumuzda, adet görememe yakınması ile başvuran ve sağ over kisti ön tanısı ile izlenen kadın hastada, radyolojik görüntülemeler sonrası rastlantısal olarak saptanan uterin arteriyovenöz (AV) fistül, US, RDUS ve BT bulguları ile literatür eşliğinde tartışılmıştır.

Uterine arteriovenous fistula coincidentally detected in a perimenauposal women: Us, color doppler US and CT findings

Uterine vascular lesions are rare but life threatening vascular pathologies. In pre and postmenauposal women, arteriovenous malformations (AVM) commonly present with vaginal bleeding of unknown origin. Although angiography is the gold standard technique in the diagnosis of uterine AVM, gray scale US and color Doppler US (CDUS) should be the first choice modalities. Computed tomography and magnetic resonance imaging may also be performed additionally. We rewieved the US, CDUS and CT findings of a coincidentally detected AV fistula in a patient with amenorrhea and with a prediagnosis of right ovarian cyst.

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