Pregnancy complicated by asymptomatic uterine arteriovenous malformation: a case report
Nasu, K.; Yamaguchi, M.; Yoshimatsu, J.; Miyakawa, I.
Journal of Reproductive Medicine 52(4): 335-337
2007
ISSN/ISBN: 0024-7758 PMID: 17506379 Document Number: 607942
BACKGROUND: Uterine arteriovenous malformation (AVM) is a rare disease. Percutaneous arterial embolization has been performed for patients who wish to preserve their ability to conceive.CASE: A 27-year-old primigravida was admitted for treatment of threatened premature labor at 21 weeks of gestation. She had been diagnosed with asymptomatic uterine AVM 2 years previously. She had not received any treatment before conception. At 41 weeks of gestation she spontaneously delivered a healthy infant weighting 3,154 g. Excessive bleeding (1,600 mL) occurred, probably due to eruption of the AVM vessel at the time of Parturition. At 3 months postpartum, the patient underwent arterial embolization of AVM.CONCLUSION: The management of uterine AVM should be individualized, taking into account the patient's desire to maintain her fertility and the symptoms.