Arteriovenous malformation of the uterus associated with a missed abortion

N. A. Ginsberg*, R. Hammer, S. Parihk, R. Tamura, R. E. Sabbagha

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Arteriovenous malformation of the uterus is a rare uterine abnormality. This entity is generally associated with the presence of molar disease, choriocarcinoma and uterine surgery, but may be congenitally acquired. The presence of an arteriovenous malformation generally leads to unexplained profuse uterine bleeding. The diagnosis of this entity has traditionally been made by arteriography, and the treatment is usually hysterectomy. We present a patient with an arteriovenous malformation of the uterus whose prior delivery was by Cesarean section. The patient experienced episodes of heavy vaginal bleeding in the first month following the procedure of suction curettage for a first‐trimester pregnancy loss. Chorionic villus sampling performed prior to the procedure showed a chromosomally normal fetus. The diagnosis of an arteriovenous malformation was made by color Doppler velocimetry and confirmed with arteriography. The patient desired to maintain her fertility. Interventional radiological techniques were successfully utilized to obliterate the arteriovenous malformation with the use of polyvinyl alcoholparticles (250 µm) and gelfoam. Discussion includes the presenting signs and symptoms along with the method of both diagnosis and conservative management.

Original languageEnglish (US)
Pages (from-to)235-237
Number of pages3
JournalUltrasound in Obstetrics and Gynecology
Volume4
Issue number3
DOIs
StatePublished - May 1 1994

Keywords

  • arteriovenous malformation
  • color Doppler
  • interventional radiology
  • uterus

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Reproductive Medicine
  • Radiology Nuclear Medicine and imaging
  • Obstetrics and Gynecology

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