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A 40-year-old female (gravida 3 para 1) presented with menstrual, urinary, and anal pain. Computed tomography revealed type II acquired uterine arteriovenous malformation, a common dilated venous sac with bilateral uterine arteries, and multiple branches of iliac arteries draining to the bilateral ovarian veins. Venous sac transvenous embolization via the left ovarian vein of dominant outflow was planned, since complete arteriovenous malformation occlusion was difficult with super-selective transarterial embolization of multiple feeders. Therefore, transarterial embolization of the minor feeder was performed before completing transvenous embolization using coils and 50% glue under left iliac artery flow control. Immediately thereafter, angiography confirmed the complete disappearance of the uterine arteriovenous malformation, and all pain symptoms remitted. In conclusion, transvenous embolization combined with adjunctive transarterial embolization can be an effective and radical treatment for type II uterine arteriovenous malformations.
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http://dx.doi.org/10.1016/j.radcr.2021.05.013 | DOI Listing |
J Clin Med
August 2025
Obstetrics and Gynecology Unit, Maternal Child Department, ARNAS Garibaldi Nesima, 95122 Catania, Italy.
Retained products of conception (RPOC) represent a significant cause of morbidity in the post-abortive and postpartum periods, potentially leading to abnormal uterine bleeding, pelvic pain, infections, and intrauterine adhesions. Accurate diagnosis is crucial to avoid unnecessary surgical interventions and to preserve future fertility. Transvaginal ultrasound constitutes the primary imaging modality for identifying RPOC, but the lack of standardized diagnostic criteria complicates clinical decision-making.
View Article and Find Full Text PDFFront Med (Lausanne)
August 2025
Department of Gynecology and Onbstetrics, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China.
Uterine arteriovenous fistula (UAVF) is a rare form of uterine arteriovenous malformation, the most characteristic clinical symptom of which is intermittent vaginal bleeding. Currently, reports on the treatment of UAVF mainly focus on uterine artery embolization (UAE), high-intensity focused ultrasound (HIFU), and surgical treatment, with relatively few reports on medical conservative therapy. This article reports the process and outcomes of medical treatment for two cases of pregnancy-related acquired UAVF and summarizes and analyzes the indications and drug selection for UAVF medical conservative treatment based on the relevant literature.
View Article and Find Full Text PDFMedicine (Baltimore)
August 2025
Radiology Department of the Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, China.
Rationale: Uterine arteriovenous fistula (UAVF) is not very common and can occur after traumatic activities, such as surgery, delivery, miscarriage, and curettage. Previous studies have reported on the ultrasound and digital subtraction angiography (DSA) findings of UAVF; however, there are few reports on computed tomography (CT), CT angiography (CTA), and magnetic resonance imaging (MRI) findings. We report a case in which residual products of conception were diagnosed during an MRI, with an oversight of the presence of UAVF.
View Article and Find Full Text PDFCase Rep Obstet Gynecol
July 2025
Department of Interventional Radiology, Wollongong Hospital, Wollongong, New South Wales, Australia.
This case report highlights the cornerstone role played by hysteroscopy to confirm a diagnosis of uterine arteriovenous malformations that was ambiguous with the imaging studies. A 30-year-old nulliparous woman who experienced three unexplained recurrent pregnancy losses was suspected of having a uterine arteriovenous malformation. The arteriovenous malformation was confirmed through hysteroscopy and managed with a multidisciplinary approach involving interventional radiology and reproductive specialists.
View Article and Find Full Text PDFInt J Surg Case Rep
September 2025
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal. Electronic address:
Introduction And Importance: Uterine vascular tumors are rare neoplastic lesions that grow independently and may sometimes regress. They include hemangiomas, lymphangiomas, arteriovenous malformations, and angiosarcomas. Often they are asymptomatic and incidental, some can mimic gynecologic tumors.
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