title: Uterine arteriovenous malformation.
abstract: Uterine arteriovenous malformation (AVM) is a little known condition of which, to date, very few cases have been described. It has a very diverse symptomatology, even though in most cases, it is diagnosed during a severe and acute haemorrhagic event. Its treatment can vary from expectant management to hysterectomy; however, current evidence suggests that the embolisation of uterine arteries is the most effective approach, especially if fertility is to be preserved. We present a case report classified as AVM, with additional images that show the appearance of this pathology in a short span of time. This case has a number of peculiarities: unusual persistence of human chorionic gonadotropin hormone (β-HCG), asymptomatic patient, quick establishment of the lesion and its duration with unchanging characteristics and finally its spontaneous resolution without further consequences. This entity shows an aetiopathogenesis, that is, not well established or described. We discuss its physiopathology and aetiopathogenesis.
authors: Department of Obstetrics, Bernabeu Institute, Alicante, Alicante, Spain.
authors: Francisco
authors: F
authors: Sellers
authors: Ana
authors: A
authors: Palacios-Marqués
authors: Belen
authors: B
authors: Moliner
authors: Rafael
authors: R
authors: Bernabeu
mesh_terms: D000022:Abortion, Spontaneous / Q000097:blood / Q000000981:diagnostic imaging; D000328:Adult; D001165:Arteriovenous Malformations / Q000097:blood / Q000000981:diagnostic imaging*; D058070:Asymptomatic Diseases; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D005260:Female; D006801:Humans; D011247:Pregnancy; D018615:Ultrasonography, Doppler, Color; D055988:Uterine Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging
chemical_list: D018997:Chorionic Gonadotropin, beta Subunit, Human
references: Arch Gynecol Obstet. 2011 Nov;284(5):1137-51
references: 21904854
references: Obstet Gynecol. 2008 Aug;112(2 Pt 2):467-70
references: 18669767
references: Eur J Obstet Gynecol Reprod Biol. 2000 Sep;92(1):35-43
references: 10986432
references: Placenta. 2000 Mar-Apr;21 Suppl A:S16-24
references: 10831117
references: Vasc Endovascular Surg. 2005 Jul-Aug;39(4):293-306
references: 16079938
references: J Vasc Interv Radiol. 1991 Nov;2(4):517-22
references: 1797218
references: Am J Obstet Gynecol. 1986 Sep;155(3):491-3
references: 3752172
references: Am J Obstet Gynecol. 2011 May;204(5):e4-8
references: 21349491
references: J Ultrasound Med. 2006 Nov;25(11):1387-92; quiz 1394-5
references: 17060424
references: Fertil Steril. 2008 Dec;90(6):2406-7
references: 18402942
references: Obstet Gynecol. 2003 Oct;102(4):696-8
references: 14550998
references: J Reprod Med. 2009 May;54(5):333-6
references: 19517703
references: Arch Gynecol Obstet. 2009 Feb;279(2):229-32
references: 18665382
references: Placenta. 2001 Apr;22(4):265-75
references: 11286562
references: J Biol Chem. 1995 Mar 31;270(13):7717-23
references: 7706320