Uterine arteriovenous malformation: a rare cause of abnormal uterine bleeding

Authors

  • Mohim I. Sina Department of Obstetrics and Gynecology, Upazila Health Complex, Debidwar, Cumilla, Chattogram, Bangladesh
  • Shariful I. Shakil Department of Anesthesiology, Upazila Health Complex, Debidwar, Cumilla, Chattogram, Bangladesh
  • M. M. Rahman Department of Radiology, Mahfuz Ultrasound Centre, Debidwar, Cumilla, Chattogram, Bangladesh
  • Mubarak H. Khan Department of Anesthesiology, Debidwar Apollo Hospital, Debidwar, Cumilla, Chattogram, Bangladesh
  • M. M. Rahman Department of Medicine, Upazila Health Complex, Debidwar, Cumilla, Chattogram, Bangladesh
  • M. E. Hoque Administrative Division and Head, Upazila Health Complex, Debidwar, Cumilla, Chattogram, Bangladesh

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222486

Keywords:

Abnormal uterine bleeding, Color Doppler ultrasound, Hysterectomy, Uterine arteriovenous malformation

Abstract

Uterine arteriovenous malformation (AVM) is a rare gynecological entity that usually presents with vaginal bleeding of variable spectrum. High level of suspicion aided by color Doppler ultrasound is needed to confirm the diagnosis. This case report describes a 52-year-old woman G7P6A1 who presented with irregular pervaginal bleeding for 5 years. Her symptom was recurrent, on and off and refractory to hormone therapy. She was diagnosed with uterine AVM on pelvic color Doppler ultrasound that revealed a dilated and hypervascular cystic mass of 6.2×4.1 cm located at right uterine wall where blood flow was bidirectional. As a definitive treatment, open abdominal hysterectomy was performed successfully. This report reminds gynecologists to consider uterine AVM as a rare differential diagnosis of abnormal uterine bleeding (AUB).

Author Biography

Mohim I. Sina, Department of Obstetrics and Gynecology, Upazila Health Complex, Debidwar, Cumilla, Chattogram, Bangladesh

Completed 3 years Fellowship Training in Obstetrics and Gynaecology under Bangladesh College of Physicians and Surgeons (BCPS).

Currently working as a Medical Officer at Upazila Health Complex, Debidwar, Cumilla district under Directorate General of Health Services (DGHS), Ministry of Health nad Family Welfare (MoHFW).

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Published

2022-09-27

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Case Reports