P30.20: Doppler US in pre and post treatment of uterine AVM malformation: a case series

Abstract

AVM of the myometrium considered a rare entity. It is believed that acquired uterine AVM is fed from a solitary vessel while congenital lesions have many feeding vessels. We show by Doppler that some acquired uterine AVM alsow can be fed by multiple feeding vessel. Case presentations: A 32 years old patient, G1P1, 2nd infertility.History of laparoscopic endometrioma cystectomy followed by IVF treatment, pregnancy and NSVD.repeated laparoscopic cystectomy for repeated giant endometrioma followed by two IVF reatment. Referred for routine Ultrasound evaluation 8 weeks post IVF treatment. The US revealed posterior wall hypo-echogenic mass with two jets flow. Color Doppler Ultrasound established the diagnosis of posterior wall AVM. The patient was treated with one selective embolization evaluated post treatment by Doppler Ultrasound. A 37 years old patient, G3P2CS2A1, with delayed post abortion hemorrhage. Six weeks post D&C she presented to the emergency room with vaginal hemorrhage. Doppler ultrasound imaging established the diagnosis of an anterior wall uterine AVM. The patient was treated with two consecutive selective embolization evaluated by Doppler US. Supporting information can be found in the online version of this abstract Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.