SAVE LIFE- SAVE UTERUS

1

• SAVE LIFE- SAVE UTERUS
• 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 DC
  (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
• Emergency hysterectomy was contemplated.
• 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
• RIGHT INTERNAL ILIAC ARTERY ANGIOGRAM