Uterine Artery Embolization for Acquired Arteriovenous Malformation in Young Patients with Abnormal Uterine Bleeding: From Diagnosis to Management Asking the Right Questions! Insights from a Case Report

Vineet Mishra; Manisha Chhetry; Ketul Pathak; Sumesh Choudhary

doi:10.5005/jp-journals-10006-2416

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Uterine Artery Embolization for Acquired Arteriovenous Malformation in Young Patients with Abnormal Uterine Bleeding: From Diagnosis to Management Asking the Right Questions! Insights from a Case Report

Vineet Mishra, Manisha Chhetry, Ketul Pathak, Sumesh Choudhary

Keywords : Abnormal uterine bleeding, Arteriovenous malformation, Case report, Uterine artery embolization

Citation Information : Mishra V, Chhetry M, Pathak K, Choudhary S. Uterine Artery Embolization for Acquired Arteriovenous Malformation in Young Patients with Abnormal Uterine Bleeding: From Diagnosis to Management Asking the Right Questions! Insights from a Case Report. J South Asian Feder Obs Gynae 2024; 16 (3):322-324.

DOI: 10.5005/jp-journals-10006-2416

License: CC BY-NC 4.0

Published Online: 29-04-2024

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Abstract

Aim and background: Uterine arteriovenous malformation (AVM) is a rare cause of abnormal uterine bleeding (AUB) in young patients. The condition could be congenital or acquired following uterine trauma due to curettage, or uterine surgeries like myomectomy or cesarean section. Case description: Here we report a 29-year-old lady with previous two therapeutic curettages for missed abortions, who presented with recurrent AUB requiring multiple blood transfusions. Ultrasound and Doppler studies of the pelvis showed features consistent with AVM. The patient underwent angiography of the internal iliac and uterine arteries confirming the AVM on the right side. Successful embolization was performed using n-butyl cyanoacrylate and lipiodol mixture. The patient was discharged after 24 hours of the procedure and the bleeding was effectively controlled. Conclusion and clinical significance: Uterine AVM should be a differential in all young patients with AUB who have a history of uterine instrumentation and a negative pregnancy test. A high degree of clinical suspicion should be maintained to diagnose the condition. Uterine artery embolization is a viable option for acquired AVM in young patients with AUB.

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