Radiology Case Reports (Nov 2020)

Uterine arteriovenous malformation mimicking retained products Of conception – treated with embolization

  • Fidel Rampersad, MBBS, DM (UWI), FRCR,
  • Swasti Narine, MBBS,
  • Donna Rampersad, BSc, MBBS,
  • Jason Diljohn, MBBS,
  • Ronan Ali, MBBS, FACP, FACC, FSCAI, FRCP Edin

Journal volume & issue
Vol. 15, no. 11
pp. 2076 – 2079

Abstract

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Uterine arteriovenous malformations are uncommon but pose the risk of potentially life-threatening hemorrhage. A 29-year-old pregnant female presented with vaginal spotting, after which ultrasound diagnosis of missed miscarriage was made and medical management undertaken. Vaginal spotting continued post-treatment which led to repeat pelvic ultrasound and subsequent magnetic resonance imaging which confirmed a uterine arteriovenous malformation masquerading as retained products of conception. Uterine instrumentation with dilatation and curettage could have been potentially devastating. The patient was successfully treated with uterine artery embolization.

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