Successful term pregnancy after selective embolization of a large postmolar uterine arteriovenous malformation.
Uterine arteriovenous malformations (AVM) are very uncommon disorders. Successful conservative treatment with subsequently conceived is rarely reported. We describe a 31-year-old woman with a complex and large postmolar AVM; she was successfully treated with transarterial selective embolization for a long history of repeated excessive vaginal bleeding and anemia. She resumed normal menstrual periods soon after treatment, and she subsequently conceived about 2 years later. A healthy male baby was delivered at 39 weeks of gestation via vaginal route. Selective embolization of a complex and large uterine AVM seems to be feasible for the treatment of uterine bleeding and preservation of reproductive capability.
Tsai
C-C
CC
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Cheng
Y-F
YF
Changchien
C-C
CC
Lin
H
H
D000328:Adult; D001165:Arteriovenous Malformations / Q000150:complications / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000150:complications / Q000188:drug therapy; D007083:Iliac Artery / Q000002:abnormalities; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D014591:Uterine Diseases / Q000150:complications / Q000628:therapy*; D014594:Uterine Neoplasms / Q000150:complications / Q000188:drug therapy; D014599:Uterus / Q000098:blood supply*