Successful medical management of uterine arteriovenous malformation

Authors

  • Aparajita Rastogi Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India
  • Neetu Kumari Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India
  • Sarita Rajbhar Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India
  • Pushpawati Thakur Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India
  • Sagarika Majumdar Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20212208

Keywords:

Uterine, Arteriovenous, Malformation

Abstract

Uterine Arteriovenous malformation (AVM) is defined as abnormal communication between the uterine arteries and veins. This can be congenital or acquired. It occurs more frequently in reproductive age group women. Patient present with complain of spotting per vagina to catastrophic bleeding per vaginum. Diagnosis is based upon clinical history and findings in colour doppler of pelvis. The treatment depends upon the age of the patient, her symptoms, age, desire of future fertility and localization and size of the lesion. Uterine artery embolization is the most commonly used treatment for symptomatic uterine arteriovenous malformation. There were few case reports of successful medical management of uterine AVM with GnRH agonist. But GnRH agonist have side effects that restrict its long time use and for Uterine artery embolization, clinical skill and set up is required and it is not available at every hospital. Here is presenting a case report of successful medical management of uterine arteriovenous malformation with combined oral contraceptive pills (coc). COC are easily available everywhere and its side effects are few if compared with GnRH agonist.

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Author Biographies

Aparajita Rastogi, Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India

SENIOR RESIDENT, DEPARTMENT OF OBSTETRICS & GYNAECOLOGY

Neetu Kumari, Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India

JUNIOR RESIDENT,

DEPARTMENT OF OBSTETRICS & GYNAECOLOGY

Sarita Rajbhar, Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India

ASSISTANT PROFESSOR,

DEPARTMENT OF OBSTETRICS & GYNAECOLOGY

Pushpawati Thakur, Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India

ASSOCIATE PROFESSOR,

DEPARTMENT OF OBSTETRICS & GYNAECOLOGY

Sagarika Majumdar, Department of Obstetrics and Gynaecology, AIIMS Raipur, Chhattisgarh, India

SENIOR RESIDENT,

DEPARTMENT OF OBSTETRICS & GYNAECOLOGY

References

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Published

2021-05-27

Issue

Section

Case Reports