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. 2013 Mar;20(2):76-80.

Uterine arteriovenous malformation

Hilwati Hashim  1 , Ouzreiah Nawawi
Affiliations

Uterine arteriovenous malformation

Hilwati Hashim et al. Malays J Med Sci. 2013 Mar.

Abstract

Uterine arteriovenous malformation (AVM) is a rare condition, with fewer than 100 cases reported in the literature. Despite it being rare, it is a potentially life-threatening condition. This case report describes a 33-year-old woman who presented with secondary post-partum hemorrhage. Transabdominal ultrasound (US) of the pelvis showed increased vascularity with multidirectional flow of the uterus and a prominent vessel, located on the left lateral wall. She also had retained product of conception, which complicated the diagnosis. A uterine artery angiogram confirmed an AVM in the fundal region with an early draining vein. Embolisation of the AVM was performed successfully.

Keywords: arteriovenous malformation; embolisation; post-partum hemorrhage; ultrasound; uterine; uterine artery; uterus.

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Figures

Figure 1:
Figure 1:
Transabdominal ultrasound of the pelvis shows bulky uterus with increased vascularity and multidirectional flow. Prominent vessel is seen on the left lateral wall of the uterus (arrow), likely to arise from the left uterine artery. b) Spectral Doppler showed a peak systolic velocity (PSV) of 51 cm/s and resistive index (RI) of 0.66.
Figure 2:
Figure 2:
Angiogram of the left uterine artery showed an arteriovenous malformation (AVM) (black arrow) with an early draining vein seen at the fundus (white arrow). Post-embolisation run showed complete embolisation of the AVM.
See this image and copyright information in PMC

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