Radiologic and histopathologic study of the uterine vasculature in cases of dysfunctional uterine bleeding

ABSTRACT

Transcervical phlebography was done in [50] patients with perimenopausal dysfunctional uterine bleeding [the study group] and [20] patients with genital prolapse [the control group]. All the patients were admitted for hysterectomy either abdominally in cases of the study group or vaginally with repair in the controls. Ovarian with broad ligamentary varicosity was more detected among the study cases than in the controls, [20 cases 40% vs, 3 cases 15%]. After the operation of hysterectomy, each uterus was examined pathologically for the endometrial pattern and its vasculature. Regarding the endometrial pattern the secretory endometrium wax only found in the control cases while the adenomatous hyperplasia was only detected in the study cases. More atherosclerotic changes and calcification were detected in the uterine blood vessels of the study patients than in the controls while the endometrial venous sinuses were only found in the patients with uterine bleeding