Role of color Doppler ultrasonography and multidetector computed tomography angiography in diagnosis of uterine arteriovenous malformations

Abstract

Aim of work: To assess the role of color Doppler ultrasonography and multidetector computed tomography angiography (MDCTA) in diagnosis of uterine arteriovenous malformations (AVMs). Methodology: Twenty patients were referred to the radiodiagnosis and imaging department, faculty of medicine, Tanta University from obstetric and gynecology department. All patients were suspected clinically to have uterine arteriovenous malformations. All were subjected to history taking regarding clinical state, laboratory investigation and color Doppler ultrasonography and multidetector computed tomography angiography of the pelvis. Results: Color Doppler ultrasound sensitivity was 100% in detecting a uterine hypervascular lesion and highly suggesting the diagnosis of uterine AVM and the sensitivity of MDCT angiography was 100% in diagnosing and evaluating uterine AVM. Conclusion: Doppler US can strongly suggest the presence of AVM but patient should undergo CT angiography for definitive diagnosis and possible embolization, as CTA helps in providing valuable cross sectional anatomical details about the lesion, its extent and its surroundings.

Keywords

• Uterine arteriovenous malformation
• Color doppler ultrasonography
• Multidetector computed tomography angiography