Fulmer, Jr., George T.; Mayberger, Harold W.; Sheehy, Thomas J.; Hayden, Charles W.
November 1970
Angiology;Nov1970, Vol. 21 Issue 10, p647
Academic Journal
An arteriovenous fistula of the left uterine vessels was removed 19 years following supracervical hysterectomy. Six previous cases reported in the literature are reviewed and the present case is added. Although there are few characteristic complaints, the physical findings of a pulsating mass with bruit on either side of the midline makes diagnosis relatively easy. Angiography is a relatively simple procedure to confirm the diagnosis and should be done in all cases in which this complication is suspected. Treatment consists of excision of the fistula with sufficient blood on hand for replacement in view of the possibility of great blood loss. All patients reviewed did well postoperatively.


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