Uterine Arteriovenous Malformation—A Rare Cause of Abnormal Uterine Bleeding

Authors

  • Shamsun Nahar Begum Professor and Head, Department of Obstetrics and Gynecology, SSMC Mitford Hospital, Dhaka
  • Shroddha Nivedita Paul Junior Consultant, Department of Obstetrics and Gynecology, SSMC Mitford Hospital, Dhaka
  • Fonindra Nath Paul Radiologist, Dhaka Medical College Hospital, Dhaka
  • Muna Shalima Jahan Associate Professor, Department of Obstetrics and Gynecology, SSMC Mitford Hospital, Dhaka
  • Parul Akhter Assistant Professor, Department of Obstetrics and Gynecology, SSMC Mitford Hospital, Dhaka

DOI:

https://doi.org/10.3329/bjog.v29i1.30470

Keywords:

Abnormal uterine bleeding (AUB), uterine arteriovenous malformation, bilateral uterine and ovarian artery ligation

Abstract

Uterine arteriovenous malformation (AVM) is a rare condition with fewer than 100 cases reported in the literature1. Despite being rare, it is a life threatening condition. In most cases, it is diagnosed during a severe and acute hemorrhagic event. It has a diverse symptomatology. Clinical presentation varies from no symptom to various degree of menorrhagia with massive life threatening vaginal bleeding. Clinical suspicion is essential for a prompt diagnosis and treatment. This case report describes a 24year old woman who presented with recurrent episodes of severe vaginal bleeding for the last 3 years. Initial episode was after a curettege for incomplete abortion 3years back. Trans-abdominal and transvaginal Doppler ultrasound of the pelvis showed presence of numerous tortuous and engorged vessels throughout the myometrium and both adnexal regions. Bilateral uterine and ovarian artery ligation was performed with significant improvement of patients symptom.

Bangladesh J Ob et Gynaecol, 2014; Vol. 29(1) : 49-53

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Author Biography

Shamsun Nahar Begum, Professor and Head, Department of Obstetrics and Gynecology, SSMC Mitford Hospital, Dhaka



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Published

2016-11-26

How to Cite

Begum, S. N., Paul, S. N., Paul, F. N., Jahan, M. S., & Akhter, P. (2016). Uterine Arteriovenous Malformation—A Rare Cause of Abnormal Uterine Bleeding. Bangladesh Journal of Obstetrics &Amp; Gynaecology, 29(1), 49–53. https://doi.org/10.3329/bjog.v29i1.30470

Issue

Section

Case Report