Case Reports in Women's Health (Apr 2022)

Severe hemorrhage due to acquired uterine arteriovenous malformation/fistula following first-trimester aspiration abortion: A case report

  • Kathryn E. Sharpless,
  • India I. Pappas,
  • Ethan M. Dobrow,
  • Matthew Moccia,
  • Alison Bates,
  • Michael G. Pinette,
  • Maureen Paul

Journal volume & issue
Vol. 34
p. e00410

Abstract

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Uterine arteriovenous malformation/arteriovenous fistula is a rare, but potentially life-threatening, cause of severe hemorrhage. A case of uterine arteriovenous malformation/fistula causing severe hemorrhage following a first-trimester aspiration abortion procedure in a patient with a history of prior cesarean sections is presented. In this case, the patient was promptly diagnosed and effectively treated with uterine artery embolization. Consideration of uterine arteriovenous malformation/fistula in the differential diagnosis of severe hemorrhage following first-trimester aspiration abortion, especially in women with risk factors, can lead to timely recognition and appropriate treatment.

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