UTERINE ARTERIOVENOUS MALFORMATION

YUKSEL OGUZ, FATMA GONCA ELDEM, BARBAROS CIL, CEM SANHAL, GULENAY GENCOSMANOGLU TURKMEN, AYKAN YUCEL, DİLEK UYGUR

Gynecology Obstetrics & Reproductive Medicine - 2019;25(1):59-61

Department of High Risk Pregnancy, University of Heath Sciences, Zekai Tahir Burak Women’s Health Education and Research Hospital, Ankara

 

We aimed to report a case of uterine arteriovenous malformation which was successfully treated by uterine artery embolization. A multiparous 23-year-old woman referred to our clinic for 7 weeks of scar pregnancy. On ultrasound, incisional 32×37 mm gestational sac surrounded with non-pulsatile high flow vessels was demonstrated. Uterine artery embolization was performed with Gelfoam by interventional radiology. The post-embolization arteriogram showed complete embolization of the uterine arteriovenous malformation with a slow flow of contrast in both uterine arteries. In clinical suspicion, uterine arteriovenous malformation can be diagnosed with Doppler ultrasonography and can be treated successfully with either uterine artery embolization or uterine surgery. Uterine arteriovenous malformation is commonly diagnosed in women of childbearing age, angiographic embolization should be the firstly preferred treatment.