Uterine arteriovenous malformation is a rare condition that may be associated with uterine bleeding. Eventually morphologic aspects of the lesions induce unnecessary aggressive surgery; we report here a case of successful expectant management.
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Embolisation of an acquired uterine arteriovenous malformation.
BMJ Case Rep
December 2024
Cork University Maternity Hospital, Cork, Cork, Ireland.
A G5P2+2 woman in her 30s presented to hospital with per vaginum (PV) bleeding, approximately 2 weeks post electric vacuum aspiration (EVA) for retained products of conception. Ultrasound and MRI demonstrated a large vascular myometrial lesion, suggestive of a uterine arteriovenous malformation (UAVM). She underwent digital subtraction angiography (DSA) with interventional radiology and simultaneous uterine artery embolisation (UAE).
View Article and Find Full Text PDFRole of Hysteroscopy in the Management of Uterine Vascular Malformations with a Focus on Enhanced Myometrial Vascularity - A Review of Diagnosis and Treatment with the Suggested Algorithm.
Gynecol Minim Invasive Ther
August 2024
Department of Maternal Fetal Medicine, Division of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore.
Postpregnancy bleeding is common after failed pregnancy, termination of pregnancy, and postnatally after both vaginal and cesarean delivery. Pelvic ultrasound (US) is usually the initial imaging modality of choice to ascertain the cause when the bleeding is heavy or prolonged. When used in combination with Doppler studies, US can help differentiate retained products of conception (RPOC) from rarer uterine vascular malformations (UVM), including true arterial vascular malformations and areas of enhanced endometrial vascularity (EMV), which may themselves be associated with any RPOC present.
View Article and Find Full Text PDFMultimodal approach in distinguishing and managing uterine arteriovenous malformation: A case report.
Radiol Case Rep
January 2025
Houston Methodist Hospital, Department of Radiology, 6565 Fannin St, Houston, Texas, 77030, USA.
Arteriovenous malformations (AVMs) are abnormal vascular connections bypassing the capillary system, categorized as acquired or congenital. Acquired uterine AVMs, often resulting from uterine trauma due to procedures like dilatation and curettage, can be life threatening, necessitating prompt diagnosis and management. Here we present a 34-year-old woman with a history of missed abortion and dilatation and curettage presenting with abnormal uterine bleeding 2 months postprocedure.
View Article and Find Full Text PDFCase Report of Placenta Accreta Spectrum and Arteriovenous Malformations with Successful Preservation of Fertility After Birth.
Diagnostics (Basel)
November 2024
Department of Microbiology, County Clinical Emergency Hospital, University of Medicine and Pharmacy, 200642 Craiova, Romania.
Article Synopsis
- Uterine arteriovenous malformations (UAVMs) are a rare cause of heavy bleeding after childbirth, often linked to placenta accreta spectrum (PAS).
- A case study highlighted a woman with PAS who experienced significant bleeding post-delivery and required several treatments, including uterine artery embolization, which proved effective.
- The study suggests that UAVMs may arise from residual PAS tissue and emphasizes the importance of preserving fertility while managing severe bleeding, avoiding more drastic measures like hysterectomy.
Arteriovenous malformation associated with trophoblastic retention post-cesarean section: A case report and review.
Int J Surg Case Rep
December 2024
Department of Gynecology-Obstetrics, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy of Rabat, University Mohammed V, Rabat, Morocco.
Article Synopsis
- * A case involved a 32-year-old woman diagnosed with a uterine AVM after experiencing bleeding post-miscarriage, confirmed through ultrasound and MRI, leading to successful treatment involving embolization and tissue removal.
- * This report highlights the importance of using non-invasive imaging techniques like ultrasound and MRI for early diagnosis of uterine AVMs, allowing for conservative treatment options that help preserve fertility in women of childbearing age.
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