Uterine artery comes directly from ovarine artery:a case report / 北京大学学报(医学版)

ABSTRACT

The patient is a 48-year-old woman.She came to our hospital because o f consistent colporrhagia for one month.Her first menstrual came when she was 17 ye ars old,her last menstrual period(LMP)was on March 23,2005.When she came to our hospital,she looked weak and anemic.Temperature(T)36.6 ℃;pulse(P)80 counts per minute;respire(R)19 counts per minute;blood pressure(BP)130/90 mm Hg(1 mm Hg=0.133 kPa).Physical examination showed t hat her vagina was smooth,there was some lifeblood in it;the cervical was hypertrophy;the womb was anteposition;there was no pressure pain;the two side adjuncts were normal.The laboratory examination showed that the white blood cell(WBC)was 3.40?109/L,the red blood cell(RB C)3.14?1012/L,the hemoglobin(HGB)88.0 g/L,and the platelet(PLT)206 ?109/L。B ultra sound sh owed that the womb was uniformity aggrandizement.The pathology showed that the endo metrium was glandular hyperplasia.The final diagnosis was dysfunction womb hemeo rrhage.After the uterine curettage and hormonal regulation,there remained some hemorrhage.The ovarine arterial embolization(OAE)was operated on June 30,200 5.The angiography showed the two side internal lliac arteries had no uterine arte ry.The two side ovarian arteries were stout.The balance stage showed that th e womb's blood supply came from ovarian artery.The consistent colporrhagia stopped after the OAE with gelatin sponge through 3.0F SP microcatheter.After 18-months' follow-up survey,the woman's menstrual halted,and she was satisfied wit h it.