An unsuspected case of uterine arteriovenous malformation with nidus aneurysm following vaginal delivery: Diagnostic challenges and management

An unsuspected case of uterine arteriovenous malformation with nidus aneurysm following vaginal delivery: Diagnostic challenges and management

Blog Article

Uterine arteriovenous malformations (AVMs) are rare but potentially life-threatening cause of postpartum hemorrhage (PPH).Accurate differentiation from other PPH causes, such as retained products of conception (RPOC) and gestational trophoblastic CURCUMIN + PIPERINE disease (GTD), is imperative, as inadvertent improper management such as uterine curettage may cause catastrophic bleeding with high mortality rates.We present the case of 35-year-old woman who presented with excessive vaginal bleeding 2 months postnormal vaginal delivery.Initial ultrasound findings raised suspicion of uterine AVM with a differential diagnosis of type 3 RPOC.

Further imaging with computed tomography angiography (CTA) and digital subtraction Mood angiography (DSA) confirmed an underlying uterine AVM with a nidus aneurysm.The patient subsequently was treated with successful embolization and was discharged in stable condition.