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A YOUNG FEMALE PRESENTED WITH UTERINE ARTERIOVENOUS MALFORMATION : A RARE CASE MANAGED SUCCESSFULLY BY ENDOVASCULAR TECHNIQUES

Shoaeb Imtiaz ALAM, Shahidur Rahman SIKDER, Istiak AHMED, Shafiqul ISLAM

Turkish Journal of Vascular Surgery - 2026;35(1):75-77

Dhaka Medical College and Hospital, Dhaka

 

Embolization of feeder vessels is gaining popularity day by day because of the advancement of endovascular procedures for managing uterine arteriovenous malformation (UAM). A young female, having a recent history of dilatation and curettage was admitted to Department of Gynecology and Obstetrics with the complaints of per vaginal bleeding (PVB) for three days. Her transvaginal ultrasonography (TVS) with doppler study revealed presence of arteriovenous malformation (UAM) of uterus. Then she was referred to vascular surgery department of DMCH for further evaluation. Simultaneously, she underwent abdominal computed tomography angiography (CTA) which confirmed the presence of extensive arteriovenous malformation involving the uterus. She underwent Fluoroscopic-guided uterine artery embolization (UAE). Post embolization angiogram showed an abrupt cut-off of the feeding vessel and non-visualization of the UAM as well as normal flow in uterine body and fundus indicating the procedure was successful.