Fertility-preserving management of a uterine arteriovenous malformation: A case report of uterine artery embolization (UAE) followed by laparoscopic resection

Elizabeth W. Patton*, Irene Moy, Magdy P. Milad, Robert Vogezang

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Herein is presented a fertility-preserving approach in the management of a uterine arteriovenous malformation (AVM) resistant to endovascular management. The patient had a documented AVM and underwent 2 uterine artery embolization procedures, with subsequent recurrence of symptoms. Doppler ultrasound demonstrated recanalization of the AVM. Ultimately, laparoscopic resection of the AVM was performed after laparoscopic ligation of the uterine arteries. Postoperatively, the patient has remained asymptomatic. Laparoscopic resection of a uterine AVM may offer a fertility-preserving alternative to hysterectomy in patients in whom endovascular management has failed.

Original languageEnglish (US)
Pages (from-to)137-141
Number of pages5
JournalJournal of Minimally Invasive Gynecology
Volume22
Issue number1
DOIs
StatePublished - Jan 1 2015

Keywords

  • Laparoscopy
  • Uterine arteriovenous malformation
  • Uterine artery embolization

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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