Uterine arteriovenous malformation-beyond surgery: a case series

Authors

  • Uma A. Pankar Department of Interventional Radiology, Healthcare Global Enterprises Ltd. Bangalore, Karnataka, India
  • Indusekhar S. Department of Interventional Radiology, Healthcare Global Enterprises Ltd. Bangalore, Karnataka, India
  • Pannag Desai Department of Interventional Radiology, Healthcare Global Enterprises Ltd. Bangalore, Karnataka, India
  • Vidya Bhargavi Department of Interventional Radiology, Healthcare Global Enterprises Ltd. Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20174476

Keywords:

Embolization, Trans-catheter angiogram, Uterine AVM

Abstract

Uterine arteriovenous malformations (AVM) are a rare entity, presenting in women of reproductive age. The presentation may vary with bleeding being the chief presenting symptom. Though traditionally hysterectomy has been a definitive form of treatment, trans-catheter embolization is being considered as a good treatment option.  We present three cases with uterine AVM who presented with heavy bleeding per vaginam. Three patients of reproductive age group (29-33 years) presented with heavy bleeding per vaginam from January 2017- May 2017. Two had previous miscarriages for which curettage was done and one had undergone a Caesarean section previously. Diagnosis of uterine AVM was made by ultrasound-grey scale, colour Doppler, followed by MRI. All patients underwent trans-catheter angiogram followed by selective embolization of the AVM with n-BCA (n- Butyl Cyanoacrylate) and polyvinyl alcohol (PVA) particles. Successful embolization was done in all of our patients with technical success rate of 100%. On follow-up, all patients are currently asymptomatic. Trans-catheter arterial embolization of uterine AVM is a simple and effective treatment alternative with less morbidity associated with anaesthesia and surgery in turn reducing hospital stay. It has to be considered in patients who need to preserve their fertility.

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Published

2017-09-23

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Section

Case Reports