Patient in critical condition due to massive bleeding
The Department of Endocrinology - Central Obstetrics and Gynecology Hospital recently received patient Vu Thi D (43 years old) with a history of 3 cesarean section and 3 cesarean section. When admitted to the hospital, Ms. D was in a state of massive vaginal bleeding, severe dizziness, and her life was at risk.
As soon as he received the doctorate, MSc. Dr. Dang Anh Linh - Head of the Department of Endocrinology - directly examined. color Doppler ultrasound results showed abnormal increase in blood vessel area in the uterine muscles, with a Aliasing image of high-speed flow. Thereby, the doctor determined that the patient had anemia due to acute - varicose veins in the uterine muscles - a rare but especially dangerous disease.
Coordinate with other hospitals to save the patient's uterus
The patient was immediately transferred to the Circular Intervention Center - Viet Duc Friendship Hospital for consultation and digital image of background surgery (DSA). The initial diagnosis was confirmed and the patient underwent a vascular appointment in the affected areas.
After the intervention, the vaginal bleeding stopped, the patient quickly stabilized and was transferred to the Central Obstetrics Hospital for monitoring. After that, Ms. D was discharged from the hospital in a healthy state, with stable periodic check-ups.
According to MSc. Dr. Dang Anh Linh, mobile - varicose vein abnormalities in uterine muscles are very rare, which can cause massive, prolonged, and life-threatening bleeding. If not diagnosed accurately, treatment with uterine drops can make the condition worse, even forcing the uterus to be removed to save the patient's life. This is especially dangerous for young women who still want to have children.
The case of patient D is a testament to the effectiveness of the close coordination between the Central Obstetrics and Gynecology Hospital and the Cardiovascular Intervention Center - Viet Duc Hospital: not only successfully controlling life-threatening banguts but also preserving the patient's uterus.
Experts say ultrasound is an effective first aid in diagnosing and predicting AVM damage. Meanwhile, digital image processing to remove background (DSA) is a "gold standard" that both helps identify diseases and supports effective treatment with selective capillaries.
Doctor Linh recommends: women with a history of multiple thai ky, cesarean section, uterine fibroids removed... if they see unusual vaginal bleeding, should immediately go to a specialized medical facility for examination and timely detection of the cause. Proper diagnosis and early treatment will help prevent the risk of severe blood clots, limit uterine catage, preserve fertility and the patient's life.
