Uterine arteriovenous malformation necessitating hysterectomy with bilateral salpingo-oophorectomy in a young pregnant patient.
This case report describes a 31-year-old woman at 8 weeks' gestation with large arteriovenous malformation of the uterus involving bilateral uterine and ovarian arteries. She had a history of multiple pregnancy losses, as well as spontaneous copious vaginal hemorrhage. The patient underwent an embolization procedure followed by total abdominal hysterectomy and bilateral salpingo-oophorectomy. The uterus was very small (30 g) despite its gravid status, and the overall microscopic findings indicated Müllerian system hypoplasia in addition to vascular malformation.
Majmudar
B
B
Department of Pathology, Emory University School of Medicine, Atlanta, GA 30335, USA.
Ghanee
N
N
Horowitz
I R
IR
Graham
D
D
D000328:Adult; D001164:Arteriovenous Fistula / Q000473:pathology* / Q000601:surgery / Q000628:therapy; D004621:Embolization, Therapeutic; D005260:Female; D006391:Hemangioma / Q000473:pathology / Q000601:surgery / Q000628:therapy; D006801:Humans; D007044:Hysterectomy; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000473:pathology* / Q000601:surgery / Q000628:therapy; D014599:Uterus / Q000098:blood supply* / Q000473:pathology / Q000601:surgery