Acquired uterine arteriovenous malformation developing in retained products of conception: a diagnostic dilemma.

Abstract

Abnormal uterine bleeding in the postabortal period requires meticulous diagnostic work-up to decide proper management. Imaging modalities including Doppler sonography and magnetic resonance imaging in concert with clinical and laboratory findings are useful to narrow the differential diagnoses but are not definitive. Presence of increased uterine vascularity and arteriovenous shunting is non-specific and can be detected in a variety of conditions including retained trophoblastic tissue, gestational trophoblastic disease, arteriovenous malformation (AVM), placental polyp and vascular neoplasm. We present here a case of a multiparous woman with unexplained postabortal bleeding posing a diagnostic challenge. Excluding the possibility of AVM before attempting dilatation and curettage in such a clinical scenario is crucial to prevent catastrophic bleeding.

• Authors: Surbhi Goyal, Ankur Goyal, Surbhi Mahajan, Shikha Sharma, Geeta Dev
• Journal: The journal of obstetrics and gynaecology research (J Obstet Gynaecol Res) Vol. 40 Issue 1 Pg. 271-4 (Jan 2014) ISSN: 1447-0756 [Electronic] Australia
• PMID: 24033740 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2013 The Authors. Journal of Obstetrics and Gynaecology Research © 2013 Japan Society of Obstetrics and Gynecology.

Chemical References

• Contrast Media

Topics

• Abortion, Incomplete (surgery)
• Adult
• Arteriovenous Malformations (diagnosis, pathology, physiopathology)
• Contrast Media
• Dilatation and Curettage (adverse effects)
• Female
• Humans
• Magnetic Resonance Angiography
• Neovascularization, Pathologic (diagnosis, pathology, physiopathology)
• Postoperative Complications (diagnosis, etiology, pathology, physiopathology)
• Pregnancy
• Uterine Artery (pathology)
• Uterine Diseases (diagnosis, pathology, physiopathology)
• Uterine Hemorrhage (etiology)
• Uterus (blood supply, pathology)
• Veins (pathology)