Delivery by cesarean section after embolization for vaginal arteriovenous malformation.
Vaginal arteriovenous malformation (AVM) can lead to life-threatening complications on delivery. No deliveries have been reported after selective embolization for a vaginal AVM. A 34-year-old nulliparous woman was found to have an arterial pulsatile mass on the left vaginal wall. The findings of magnetic resonance imaging and magnetic resonance angiography were consistent with an AVM. Selective transcatheter embolization for the AVM was done and, afterwards, the patient was found to be pregnant. The prenatal course was uneventful and the patient underwent elective cesarean delivery at term. Vaginal AVM can be successfully treated with selective embolization, with a good obstetric outcome.
Hasegawa
Toru
T
Department of Obstetrics and Gynecology, Saiseikai Takaoka Hospital, Toyama, Japan. hase10ttnt@msn.com
Yamakawa
Yoshihiro
Y
Ota
Satoshi
S
Kamei
Tetsuya
T
Tateno
Masaya
M
D000328:Adult; D001165:Arteriovenous Malformations / Q000175:diagnosis* / Q000628:therapy*; D002585:Cesarean Section; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D011247:Pregnancy; D014621:Vagina / Q000098:blood supply*