Uterine Arteriovenous Malformation accidently detected: a case report

  • Shikha Joshi swami dayanand hospital dilshad garden delhi
  • Dipti Agrawal SDN Hospital Dilshad Garden Delhi
  • Sunita Fotedar Sdn Hospital Dilshad Garden Delhi
Keywords: UAVM (arteriovenous malformation), embolisation, , MRI, ultrasound, uterine, uterine artery

Abstract

Uterine arteriovenous malformation (AVM) is a rare condition and  is  potentially life-threatening condition. Uterine arteriovenous malformations result from formation of multiple arteriovenous fistulous communications within the uterus without an intervening capillary network.This case report describes a 30-year-old woman with previous LSCS presented in emergency  with  episode of heavy vaginal bleeding with hypovolemic shock. Two weeks earlier, she had taken MTP pills for missed abortion. Transabdominal ultrasound (US) of the pelvis showed increased vascularity with multidirectional flow of the uterus with retained products .Colour Doppler was done which shows  mass of size 35 mm with multiple small anaechoeic spaces in the anterior wall of cervix at the level of previous LSCS scar with increased systolic and diastolic blood flow with colour aliasing. MRI findings of an AVM include a focal uterine mass that consists of a group of distinct, serpiginous flow voids on T2W imaging. Beta HCG was 30mIU/mL. Patient was referred to higher centre for embolization  of  AVM which was performed successfully.

Author Biography

Shikha Joshi, swami dayanand hospital dilshad garden delhi
obs and gynaecology

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Published
2016-07-28
Section
Case Reports