Uterine hemorrhage in a menopausal female associated with an arteriovenous malformation and myometritis.
A case is described of vaginal bleeding in a 67-year-old female as the first manifestation of a uterine arteriovenous malformation (AVM). Although bleeding is the commonest presentation of an AVM, this is the first case known to have been precipitated by florid myometritis associated with the long-standing presence of an intra-uterine contraceptive device (IUCD). Uterine imaging studies utilising ultrasound scan with color Doppler were instrumental in suggesting the source of bleeding in this case. Subsequently, the patient suffered a torrential hemorrhage which necessitated hysterectomy.
Busmanis
I
I
Department of Pathology, Kandang Kerbau Women's and Children's Hospital, Singapore.
Ong
C L
CL
Tan
A C
AC
D000368:Aged; D001165:Arteriovenous Malformations / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D004716:Endometritis / Q000150:complications / Q000473:pathology*; D005260:Female; D006801:Humans; D008593:Menopause; D009215:Myometrium / Q000473:pathology*; D018615:Ultrasonography, Doppler, Color; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D014599:Uterus / Q000098:blood supply* / Q000000981:diagnostic imaging