Presenting features of women with uterine arteriovenous malformations.
OBJECTIVE
To describe the outcome of patients with uterine arteriovenous malformations (AVMs) after uterine artery embolization (UAE).


METHODS
Retrospective case series.


METHODS
Tertiary center of a university hospital.


METHODS
Thirteen patients were referred to a tertiary medical center from primary care facilities with profuse uterine bleeding.


METHODS
Uterine artery embolization.


METHODS
Thirteen patients underwent UAE. Eleven patients had no additional vaginal bleeding, whereas two patients underwent hysterectomy after embolization.


RESULTS
Twelve patients developed AVMs after induced abortions. One patient had a congenital uterine AVM. Based on the transfer notes, eight cases had incomplete abortions, three cases had dysfunctional uterine bleeding, one case had a molar pregnancy, and one case had a uterine AVM. Two cases underwent hysterectomy after UAE. One patient delivered a healthy baby after bilateral UAE.


CONCLUSIONS
Uterine AVMs should be suspected in patients with abrupt, profuse vaginal bleeding and a medical history of an induced abortion. Primary physicians should consider uterine AVMs with such a medical history. A prompt diagnosis and therapy are essential for favorable outcomes in patients with uterine AVMs.
Kim
Tae-Hee
TH
Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea.
Lee
Hae-Hyeog
HH
D000328:Adult; D005260:Female; D006801:Humans; D008796:Metrorrhagia / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D055988:Uterine Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D055357:Uterine Artery Embolization / Q000534:rehabilitation; D055815:Young Adult