Uterine Arteriovenous Malformation accidently detected: a case report
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.References
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5 Huang MW, Muradali D, Thurston WA, Burns PN, Wilson SR. Uterine arteriovenous malformations: gray scale and Doppler ultrasound features with MR imaging correlation. Radiology 1998; 206:115–123.
6 Garner EI, Meyerovitz M, Goldstein DP, Berkowitz RS. Successful term pregnancy after selective arterial embolization of symptomatic arteriovenous malformation in the setting of gestational trophoblastic tumor. Gynecol Oncol 2003; 88:69–72
7 Pope SL, Fleisher AC, Bream PR. Intramyometrial arteriovenous malformation. J. Womens Imaging 2003; 5:79–82.
8 Hoffman MK, Meilstrup JW, Shackelford P, Kaminski PF. Arteriovenous malformations of the uterus: an uncommon cause of vaginal bleeding.Obstet Gynecol Surv 1997; 52:736–740
9 Garner EI, Meyerovitz M, Goldstein DP, Berkowitz RS. Successful term pregnancy after selective arterial embolization of symptomatic arteriovenous malformation in the setting of gestational trophoblastic tumor. Gynecol Oncol 2003; 88:69–72
10 pregnacy following embolization AVM china Y N et al Annals academy of medicine 658-660
2. Polat P etal Colour Doppler Ultrasound in the Evaluation of Uterine Vascular Abnormalities. Radiographics. 2002;22: 47–53
3. Grivell R, Reid K, Mellor A. Uterine Arteriovenous Malformations: A review of the Current Literature.Obstet Gynaecol Survey. 2005; 60(11):761–767.
4 Diwan RV, Brennan JN, Selim MA, et al. Sonographic diagnosis of arteriovenous malformation of the uterus and pelvis. J Clin Ultrasound1983; 11:295–298.
5 Huang MW, Muradali D, Thurston WA, Burns PN, Wilson SR. Uterine arteriovenous malformations: gray scale and Doppler ultrasound features with MR imaging correlation. Radiology 1998; 206:115–123.
6 Garner EI, Meyerovitz M, Goldstein DP, Berkowitz RS. Successful term pregnancy after selective arterial embolization of symptomatic arteriovenous malformation in the setting of gestational trophoblastic tumor. Gynecol Oncol 2003; 88:69–72
7 Pope SL, Fleisher AC, Bream PR. Intramyometrial arteriovenous malformation. J. Womens Imaging 2003; 5:79–82.
8 Hoffman MK, Meilstrup JW, Shackelford P, Kaminski PF. Arteriovenous malformations of the uterus: an uncommon cause of vaginal bleeding.Obstet Gynecol Surv 1997; 52:736–740
9 Garner EI, Meyerovitz M, Goldstein DP, Berkowitz RS. Successful term pregnancy after selective arterial embolization of symptomatic arteriovenous malformation in the setting of gestational trophoblastic tumor. Gynecol Oncol 2003; 88:69–72
10 pregnacy following embolization AVM china Y N et al Annals academy of medicine 658-660
Published
2016-07-28
Issue
Section
Case Reports
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