Journal of

Case Reports and Images in Obstetrics and Gynecology

 
     
Case Report
 
Case report of recurrent uterine arteriovenous malformation managed conservatively
Hoo P.S.1, Norhaslinda A.R.2, Shah Reza J.N.3
1Clinical Lecturer, Obstetrics and Gynaecology Department, School of Medical Science, Universiti Sains Malaysia
2Clinical Specialist, Obstetrics and Gynaecology Department, School of Medical Science, Universiti Sains Malaysia
3Senior Lecturer, Obstetrics and Gynaecology Department, School of Medical Science, Universiti Sains Malaysia

Article ID: 100028Z08HS2017
doi:10.5348/Z08-2017-28-CR-8

Address correspondence to:
Pek Sung Hoo
Clinical lecturer, Obstetrics and Gynaecology Department
School of Medical Science
Universiti Sains Malaysia

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How to cite this article:
Hoo PS, Norhaslinda AR, Shah Reza JN. Case report of recurrent uterine arteriovenous malformation managed conservatively. J Case Rep Images Obstet Gynecol 2017;3:32–37.


ABSTRACT
Introduction: Introduction: Uterine arteriovenous malformation (AVM) is one of the rare conditions in gynecology. Conservative management such as uterine artery embolization can be tried to preserve the uterus. We have successfully treated a patient with recurrent uterine arteriovenous malformation with three times of uterine artery embolization.
Case Report: A 35-year-old female presented with heavy vaginal bleeding. Uterine arteriovenous malformation was suspected by Doppler ultrasonography and it was confirmed with angiography. The first uterine artery embolization procedure was performed using polyvinyl alcohol but it recurred after one year and another recurrence after three years. Finally she was successfully treated with third uterine artery embolization. Otherwise, patient remained asymptomatic and keen for pregnancy.
Conclusion: Uterine Artery embolization is a safe and effective treatment for recurrent uterine arteriovenous malformation.

Keywords: Angiography, Color Doppler ultrasound, Post-partum hemorrhage, Uterine arteriovenous malformation, Uterine artery embolization

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Author Contributions
Hoo P.S. – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Norhaslinda A.R. – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published.
Shah Reza J.N. – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Hoo P.S. et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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