title: Successful use of transcatheter embolisation in an emergent life-threatening situation of bleeding from uterine arteriovenous malformation.
abstract: A 27-year-old G3P1 presented to the gynaecology emergency department with heavy vaginal bleeding for 16 days. Transvaginal ultrasound showed vascular cystic spaces in the myometrium raising a suspicion of choriocarcinoma. However, β-human chorionic gonadotrophin (β-hCG) was negative in both the urine and serum. Angiography confirmed the rarer diagnosis of uterine arteriovenous malformation (AVM). Successful abolition of the AVM was achieved by transcatheter embolisation with sequential use of polyvinyl alcohol particles, gel foam pledgets and platinum coils.
authors.affiliation: Department of Obstetrics and Gynaecology, Maulana Azad Medical College, New Delhi, India. chanchalsngh@gmail.com
authors.forename: Chanchal
authors.initials: C
authors.lastname: Singh
authors.forename: Mohit
authors.initials: M
authors.lastname: Gupta
authors.forename: Reva
authors.initials: R
authors.lastname: Tripathi
authors.forename: Sanjay
authors.initials: S
authors.lastname: Tyagi
mesh_terms: D000328:Adult; D000792:Angiography; D001165:Arteriovenous Malformations / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D055357:Uterine Artery Embolization; D014592:Uterine Hemorrhage / Q000209:etiology* / Q000517:prevention & control*