Abstract
We aimed to report a case of uterine arteriovenous malformation (UAVM) which was successfully treated by uterine artery embolization.A multiparous 23-year-old woman referred to our clinic for 7 weeks scar pregnancy. On ultrasound, incisional 32×37 mm gestational sac surrounded with non-pulsatile high flow vessels was demonstrated. Uterine artery embolization was performed with Gelfoam by interventional radiology. The post-embolization arteriogram showed complete embolization of the UAVM with slow flow of contrast in both uterine arteries.In clinical suspicion, UAVM can be diagnosed with Doppler ultrasonography and can be treated successfully with either uterine artery embolization or uterine surgery. UAVM is commonly diagnosed in women of childbearing age, angiographic embolization should be the firstly preferred treatment.
Highlights
Uterine arteriovenous malformation (UAVM) is a rare condition which can be life - threatening when presenting with severe bleeding
Congenital type UAVM is very rare, and it results from developmental abnormalities of uterine vessels
We presented a 7-week pregnant woman with acquired UAVM secondary to the previous cesarean section which was successfully treated with uterine artery embolization
Summary
Uterine arteriovenous malformation (UAVM) is a rare condition which can be life - threatening when presenting with severe bleeding. There are fewer than 100 cases reported in the literature. Congenital type UAVM is very rare, and it results from developmental abnormalities of uterine vessels. Acquired type is more common, and may develop after pelvic surgery, endometrial carcinomas, miscarriage, uterine infections, leiomyomas, endometriosis, intrauterine devices and gestational trophoblastic diseases [1,2].
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