Arteriovenous malformation in a bicornuate uterus leading to recurrent severe uterine bleeding: a case report.
BACKGROUND
Uterine arteriovenous malformations (AVMs) are rare entities that have been documented in a wide age range. Several treatment modalities have been highlighted in the literature. Uterine artery embolization appears to be effective therapy for select cases. Embolization provides an alternative to hysterectomy and the potential for future fertility. To our knowledge, only 1 other case report describes an AVM existing within a bicornuate uterus.


METHODS
A 31-year-old, married, Caucasian woman with a history of infertility presented with intermittent uterine hemorrhage resulting in symptomatic anemia. The patient was diagnosed with a uterine AVM existing within the left horn of a bicornuate uterus. The patient underwent uterine artery embolization, with resolution of the vascular mass and resumption of regular menstrual flow.


CONCLUSIONS
AVM in a bicornuate uterus is rarely reported. Selective uterine artery embolization offers an effective modality of treatment.
Lipari
Christopher W
CW
Department of Obstetrics and Gynecology, SUNY-Upstate Medical University, 750 East Adams Street, UH Suite 5142, Syracuse, NY 13210, USA. clipari930@hotmail.com
Badawy
Shawky Z A
SZ
D000328:Adult; D000792:Angiography; D001165:Arteriovenous Malformations / Q000150:complications* / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D007084:Iliac Vein / Q000002:abnormalities* / Q000000981:diagnostic imaging; D012008:Recurrence; D016896:Treatment Outcome; D014592:Uterine Hemorrhage / Q000209:etiology* / Q000628:therapy*; D014599:Uterus / Q000002:abnormalities / Q000098:blood supply