Uterine arteriovenous malformation in a patient with recurrent pregnancy loss and a bicornuate uterus. A case report.
BACKGROUND
Arteriovenous malformations (AVM) of the uterus are a rare but potential cause of recurrent pregnancy loss. Only four cases of uterine AVM have resulted in a live birth after conservative management. There is no previous report in which a combination of a müllerian anomaly and an AVM existed concomitantly.


METHODS
A 33-year-old woman with a history of recurrent pregnancy loss was found to have a coexistent uterine AVM and a bicornuate uterus. The patient underwent arterial embolization and Strassman metroplasty and subsequently had a term pregnancy with a live birth.


CONCLUSIONS
Management of uterine AVM should be individualized, taking into account the patient's desire for future fertility and the stability of her health at presentation.
Arredondo-Soberon
F
F
Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, USA.
Loret de Mola
J R
JR
Shlansky-Goldberg
R
R
Tureck
R W
RW
D000026:Abortion, Habitual / Q000209:etiology; D000328:Adult; D001165:Arteriovenous Malformations / Q000175:diagnosis / Q000628:therapy*; D015897:Comorbidity; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000002:abnormalities; D009095:Mullerian Ducts / Q000002:abnormalities; D011247:Pregnancy; D011256:Pregnancy Outcome; D014599:Uterus / Q000002:abnormalities / Q000098:blood supply*