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BROOKLYN 3 MRI USER GROUP Sally-Anne COLLINS

ABSTRACT A case study of a 23 year old female patient with an initial diagnosis of partial molar pregnancy. Ultrasound imaging proved inconclusive suggesting a Artero -Venous Malformation. MRI was used to further differentiate the mass prior to surgical intervention.

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BROOKLYN 3 MRI USER GROUP Sally-Anne COLLINS

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  1. ABSTRACT A case study of a 23 year old female patient with an initial diagnosis of partial molar pregnancy. Ultrasound imaging proved inconclusive suggesting a Artero-Venous Malformation. MRI was used to further differentiate the mass prior to surgical intervention. Further examples on the role of MRI in the diagnosis of vascular pelvic anomalies. Sat 31stAug 2013 Session 2 / Talk 4 11:25 – 11:40 BROOKLYN 3 MRI USER GROUP Sally-Anne COLLINS

  2. AVM of the female pelvis Sally-Anne Collins

  3. Arterial Venous Malformations • Occur throughout the body • Asymptomatic lesions • Minimal shunting • Active shunting • Venous engorgement • Venous hypertension

  4. Symptoms • Mild discomfort • Significant bleeding • Trauma • Hormonal change • Puberty • Pregnancy

  5. Protocol • Sagittal T2 • Axial T2 whole pelvis • Axial T1 whole pelvis • High Res Axial and Coronal T2 of Uterus • Sagittal T1 Lava Flex • Axial and Coronal Lava Flex

  6. Case study 1 • 43 yr old • Previous miscarriage • ?retained products of conception

  7. Case study 2 • 30 yr old female • History of incomplete miscarriage • US suggested AVM and retained products • Gradual decline in haemoglobin

  8. Case study 3 • A 23 year old female • Post ERPOC procedure for partial molar pregnancy. • On and off spotting • One episode of severe bleeding • Ultrasound diagnosed a likely AVM.

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  10. Thank you to: • Dr Bina Lanka • Dr Laxmi Lanka

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