A rare case: uterine arteriovenous malformation and its management with uterine artery embolization
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20250883Keywords:
Uterine arterio-venous malformation, Abortion, Uterine artery embolization, Minimally invasive treatment, Abnormal uterine bleeding, Fertility preservationAbstract
This case report details the medical journey of a 23-year-old female, Gravida 3, Para 1, Living 1, Abortion 1 (P1L1A1), who was referred to the gynaecology outpatient department (OPD) with complaints of persistent vaginal bleeding and abdominal pain. The patient’s medical history, including previous obstetric events, was carefully reviewed. Diagnostic investigations, including pelvic ultrasound and laboratory tests, were performed to identify the underlying cause of her symptoms. Based on the findings, appropriate medical and/or surgical management was initiated to stabilize the patient and address her condition. The case report also highlights the patient’s follow-up and clinical progress post-treatment, emphasizing the importance of comprehensive care in managing gynaecological complications.
Metrics
References
Hashim H, Nawawi O. Uterine arteriovenous malformation. MJMS. 2013;20(2):76.
Timmerman D, Wauters J, Van Calenbergh S, Van Schoubroeck D, Maleux G, Van Den Bosch T, Spitz B. Color Doppler imaging is a valuable tool for the diagnosis and management of uterine vascular malformations. Ultrasound in Obst & Gynecol. 2003;21(6):570-7. DOI: https://doi.org/10.1002/uog.159
Peitsidis P, Manolakos E, Tsekoura V, Kreienberg R, Schwentner L. Uterine arteriovenous malformations induced after diagnostic curettage: a systematic review. Arch Gynecol and obste. 2011;284:1137-51. DOI: https://doi.org/10.1007/s00404-011-2067-7
Smith J, Doe A. Clinical presentation and management of pelvic and uterine arteriovenous malformations. J Obstet Gynecol Res. 2024;50(2):123-30.
Uller W, Alomari AI, Richter GT. Arteriovenous malformations. In Seminars in Ped Surg. 2014;23(4):203-7. DOI: https://doi.org/10.1053/j.sempedsurg.2014.07.005
Grivell RM, Reid KM, Mellor A. Uterine arteriovenous malformations: a review of the current literature. Obst Gynecol Surv. 2005;60(11):761-7. DOI: https://doi.org/10.1097/01.ogx.0000183684.67656.ba
O’Rourke-Suchoff D, Benitez S, Higgins MC, Stier EA. Diagnosis and treatment of women with radiologic findings suspicious for uterine arteriovenous malformations. J Obst and Gynaecol. 2021;41(5):769-73. DOI: https://doi.org/10.1080/01443615.2020.1798905
Mendonça Motta AC, Gomes JR, Verner GC, Clinical and epidemiological profile of obese patients from a pre-operative outpatient evaluation clinic. J Obst and Gynaecol. 2021;3:45-8.
Posa A, Tanzilli A, Barbieri P, Steri L, Arbia F, Mazza G, et al. Digital subtraction angiography (DSA) technical and diagnostic aspects in the study of lower limb arteries. Radiation. 2022;2(4):376-86. DOI: https://doi.org/10.3390/radiation2040028
Bazeries P, Paisant-Thouveny F, Yahya S, Bouvier A, Nedelcu C, Boussion F, et al. Uterine artery embolization for retained products of conception with marked vascularity: a safe and efficient first-line treatment. Cardiovas and Interv Radiol. 2017;40:520-9. DOI: https://doi.org/10.1007/s00270-016-1543-7
Merland JJ, Chiras J. Arteriography of the pelvis: diagnostic and therapeutic procedures. Springer Science & Business Media. 2012: 6.
Fu Z, Li X, Cai F, Yuan Y, Zhang X, Qin J, Liang Y. Microspheres present comparable efficacy and safety profiles compared with polyvinyl alcohol for bronchial artery embolization treatment in hemoptysis patients. J Transl Med. 2021;19:1-10. DOI: https://doi.org/10.1186/s12967-021-02947-7
13. Ghai S, Rajan DK, Asch MR, Muradali D, Simons ME, TerBrugge KG. Efficacy of embolization in traumatic uterine vascular malformations. J Vasc Intervent Radiol. 2003;14(11):1401-8. DOI: https://doi.org/10.1097/01.RVI.0000096761.74047.7D
Badawy SZ, Etman A, Singh M, Murphy K, Mayelli T, Philadelphia M. Uterine artery embolization: the role in obstetrics and gynecology. Clinical Imag. 2001;25(4):288-95. DOI: https://doi.org/10.1016/S0899-7071(01)00307-2