Uterine arteriovenous malformation

BMJ Case Rep. 2013 Feb 7:2013:bcr2012008443. doi: 10.1136/bcr-2012-008443.

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.

Publication types

  • Case Reports

MeSH terms

  • Abortion, Spontaneous / blood
  • Abortion, Spontaneous / diagnostic imaging
  • Adult
  • Arteriovenous Malformations / blood
  • Arteriovenous Malformations / diagnostic imaging*
  • Asymptomatic Diseases
  • Chorionic Gonadotropin, beta Subunit, Human / blood
  • Female
  • Humans
  • Pregnancy
  • Ultrasonography, Doppler, Color
  • Uterine Artery / abnormalities*
  • Uterine Artery / diagnostic imaging

Substances

  • Chorionic Gonadotropin, beta Subunit, Human