[Case study of a severe hemorrhage during a dilatation and curettage: Arteriovenous malformation or first trimester placenta accreta?].
A 27-year-old woman had a uterine curettage that was complicated by a severe hemorrhage. Ultrasonography and MRI showed a vascular lesion of the uterine fundus suspected to be an atypical arteriovenous malformation. The lesion spontaneously disappeared 2months later. The two most likely diagnoses are an arteriovenous malformation or a placenta accreta. The aim is to discuss the etiology of this serious complication from a case report of a severe hemorrhage during a uterine curettage.
Marcellin
L
L
Department of Obstetrics and Gynecology, University Paris-XII, CHI de Créteil, 40, avenue de Verdun, 94010 Créteil, France. louismarcellin@hotmail.com
Haddad
B
B
Kayem
G
G
D000328:Adult; D001165:Arteriovenous Malformations / Q000175:diagnosis* / Q000473:pathology; D016063:Blood Loss, Surgical; D004107:Dilatation and Curettage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010921:Placenta Accreta / Q000175:diagnosis* / Q000473:pathology; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D016216:Ultrasonography, Prenatal; D014592:Uterine Hemorrhage / Q000209:etiology*