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Case report


Congenital Uterine Arteriovenous Malformation Presenting as Postcoital bleeding: A Rare Presentation of a Rare Clinical Condition

Neha Agarwal1Seema Chopra1Neelam Aggarwal1Ujjwal Gorsi2
1Departments of Obstetrics and Gynecology and, 2Radiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Date of Submission: 15-Nov-2016, Date of Acceptance: 24-Dec-2016, Date of Web Publication: 27-Feb-2017.
Corresponding Author:
Corresponding Author

Seema Chopra

E-mail: drseemachopra@yahoo.com

Corresponding Author:
Corresponding Author

Seema Chopra

E-mail: drseemachopra@yahoo.com

DOI: 10.4103/jcis.JCIS_95_16 Facebook Twitter Google Linkedin

ABSTRACT


Congenital uterine arteriovenous malformation (AVM) is an extremely rare condition with <100 cases documented in literature. We report multiparous women presenting to us with a history of postcoital bleed. Initial Doppler ultrasonography was consistent with features suggestive of AVM. Subsequently, computed tomography (CT) angiography confirmed the diagnosis. Embolization was chosen as the treatment because of the large extension of AVM and the risk of hemorrhage during hysterectomy. The patient was discharged in a stable condition with a plan of repeat embolization in the next setting. At 6 and 12 weeks of follow‑up, she did not experience any further episodes of bleed. The purpose of this case report is to highlight the salient clinical features, diagnosis, and the management options available for this rare clinical condition.
Keywords: Congenital arteriovenous malformation, Computed tomography angiography, Doppler ultrasonography, Embolization

Cited in 1 Document

  1. Y. S. Groszmann, A. L. Healy Murphy and B. R. Benacerraf (2018) Diagnosis and management of patients with enhanced myometrial vascularity associated with retained products of conception. Ultrasound Obstet Gynecol 52(3):396. doi: 10.1002/uog.18954

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