• Vol. 32 No. 5, 658–660
  • 15 September 2003

Pregnancy Following Embolisation of Uterine Arteriovenous Malformation – A Case Report



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Introduction: Pregnancy following successful embolisation of a uterine arteriovenous malformation (AVM) is rare. Hypovascularity of treated areas affecting placentation and fetal growth has been postulated to be the cause for adverse pregnancy outcomes.

Clinical Picture: A 37-year-old multiparous lady presented with anaemia from repeated heavy vaginal bleeding from an iatrogenic uterine AVM. This was diagnosed with power Doppler ultrasonography and embolised after pelvis angiography with hystoacryl and lipiodol. Following this she had a spontaneous pregnancy with a normal outcome.

Conclusion: There are no distinguishing clinical features of a uterine AVM. An index of suspicion and power Doppler sonography help in reaching a diagnosis. Dilatation and curettage should be avoided as this can precipitate torrential vaginal bleeding.

Arteriovenous malformations (AVMs) of the uterus are rare but potentially life-threatening lesions. The common presentation is vaginal bleeding and, if not diagnosed correctly, can result in torrential bleeding, especially following dilatation and curettage.

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