Abstract

Uterine Arteriovenous Malformation (AVM) is a potentially life-threatening condition. Uterine Artery Embolization (UAE) is a treatment method of choice for women who wish to preserve fertility. Pregnancies after UAE are at risk of perinatological complication. We described a management of uterine AVM with unilateral uterine artery embolization followed by a successful term pregnancy.

Highlights

  • Uterine Arteriovenous Malformations (AVMs) are very rare

  • Acquired AVMs occur in reproductive women following uterine Dilatation and Curettage (D&C), cesarean section, myomectomy, normal vaginal delivery, spontaneous abortions, and cesarean scar pregnancy

  • A 31-year-old woman, gravida 3, para 1, was admitted to our hospital due to irregular bleeding after D&C because of Retained Product of Conception. Her obstetrical history included term cesarean section delivery 2-years before and spontaneous abortion at 14th week of pregnancy treated with D&C

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Summary

Introduction

Uterine Arteriovenous Malformations (AVMs) are very rare. The first case of uterine AVM was reported in 1926 [1]. A 31-year-old woman, gravida 3, para 1, was admitted to our hospital due to irregular bleeding after D&C because of Retained Product of Conception (rPOC) Her obstetrical history included term cesarean section delivery 2-years before (during pregnancy low-laying placenta was located on posterior uterine wall) and spontaneous abortion at 14th week of pregnancy treated with D&C (placenta was located on posterior uterine wall). After this abortion she had 3 normal menstrual cycles and afterwards irregular vaginal bleeding started lasting 2 months with the increase of Human Chorionic Gonadotropin (hCG) level to 18,605IU/l. Five years after UAE and 3 years after birth, patient have normal regular menstrual cycle

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