Pregnancy following embolisation of uterine arteriovenous malformation--a case report.
BACKGROUND
Pregnancy following successful embolisation of a uterine arteriovenous malformation (AVM) is rare. Hypovascularity of treated areas affecting placentation and fetal growth has been postulated to be the cause for adverse pregnancy outcomes.


METHODS
A 37-year-old multiparous lady presented with anaemia from repeated heavy vaginal bleeding from an iatrogenic uterine AVM. This was diagnosed with power Doppler ultrasonography and embolised after pelvis angiography with hystoacryl and lipiodol. Following this she had a spontaneous pregnancy with a normal outcome.


CONCLUSIONS
There are no distinguishing clinical features of a uterine AVM. An index of suspicion and power Doppler sonography help in reaching a diagnosis. Dilatation and curettage should be avoided as this can precipitate torrential vaginal bleeding.
Chia
Y N
YN
Department of Obstetrics and Gynaecology, Singapore General Hospital. lee_eng_hua@hotmail.com
Yap
C
C
Tan
B S
BS
D000328:Adult; D000792:Angiography; D001165:Arteriovenous Malformations / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D002585:Cesarean Section; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000628:therapy*; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D011295:Prenatal Care; D018608:Ultrasonography, Doppler; D014592:Uterine Hemorrhage / Q000209:etiology / Q000628:therapy