Enhanced myometrial vascularity


Authors: A. Richtárová 1 ;  K. Hlinecká 1 ;  Z. Lisá 1 ;  B. Boudová 1,3 ;  R. Kocián 1 ;  J. Kaván 2 ;  M. Mára 1
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a VFN v Praze 1;  Radiodia gnostická klinika 1. LF UK a VFN v Praze 2;  Gynekologicko-porodnické oddělení, Oblastní nemocnice Trutnov a. s. 3
Published in: Ceska Gynekol 2022; 87(4): 249-254
Category: Case Report, Review Article
doi: 10.48095/cccg2022249

Overview

Objective: Case report of a gynecologically polymorbid patient with enhanced myometrial vascularity, and review of current scientific literature on incidence, dia­gnostic method, and management of this phenomenon. Case report: A 38-year-old patient that has been treated long-term for secondary sterility with a medical history of laparotomic cytoreduction surgery for adenomyosis and subsequent development and treatment of postoperative intrauterine adhesions. Currently presenting with enhanced myometrial vascularity after spontaneous abortion. For symptomatic prolonged course of the observation period without tendency for spontaneous regression and risk of acute hemorrhage, she was initially indicated for selective embolization of uterine arteries and consecutive definitive treatment via hysteroscopic resection. Conclusion: Due to low incidence and tendency for spontaneous resorption, early recognition, and correct management of enhanced myometrial vascularity, it still represents a medical challenge.

Keywords:

hysteroscopy – retained products of conception – enhanced myometrial vascularity – uterine artery embolization


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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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