Embolisation of an acquired uterine arteriovenous malformation

dc.contributor.authorCoffey, Aidan Johnen
dc.contributor.authorGalvin, Danielen
dc.contributor.authorPower, Stephenen
dc.contributor.authorHayes-Ryan, Deirdreen
dc.date.accessioned2025-01-17T14:49:31Z
dc.date.available2025-01-17T14:49:31Z
dc.date.issued2024-12-15en
dc.description.abstractA G5P2+2 woman in her 30s presented to hospital with per vaginum (PV) bleeding, approximately 2 weeks post electric vacuum aspiration (EVA) for retained products of conception. Ultrasound and MRI demonstrated a large vascular myometrial lesion, suggestive of a uterine arteriovenous malformation (UAVM). She underwent digital subtraction angiography (DSA) with interventional radiology and simultaneous uterine artery embolisation (UAE). She represented 2 weeks later with recurrent PV bleeding and anaemia. She underwent repeat DSA, demonstrating persistent UAVM, and a repeat embolisation was performed. Symptoms resolved following the second embolisation, and a repeat MRI performed 12 weeks later demonstrated complete resolution of the UAVM. Although UAVMs are rare lesions, they can cause significant haemorrhage and morbidity. The presence of UAVM should particularly be considered after uterine intervention such as EVA or caesarean section. UAE is a safe and effective therapy, which preserves fertility.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleide261005en
dc.identifier.citationCoffey, A. J., Galvin, D., Power, S., and Hayes-Ryan, D. (2024) 'Embolisation of an acquired uterine arteriovenous malformation', BMJ Case Reports, 17(12), e261005 (5pp). https://doi.org/10.1136/bcr-2024-261005en
dc.identifier.doihttps://doi.org/10.1136/bcr-2024-261005en
dc.identifier.endpage5en
dc.identifier.issn1757-790Xen
dc.identifier.issued12en
dc.identifier.journaltitleBMJ Case Reportsen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/16842
dc.identifier.volume17en
dc.language.isoenen
dc.publisherBMJ Publishing Groupen
dc.relation.ispartofBMJ Case Reportsen
dc.rights© 2024, BMJ Publishing Group Ltd. This article has been accepted for publication in BMJ Case Reports 2024, following peer review, and the Version of Record can be accessed online at: https://doi.org/10.1136/bcr-2024-261005. Reuse of this manuscript version (excluding any databases, tables, diagrams, photographs and other images or illustrative material included where a another copyright owner is identified) is permitted strictly pursuant to the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC-BY-NC 4.0) http://creativecommons.orgen
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectUterine artery embolisation (UAE)en
dc.subjectUterine arteriovenous malformation (UAVM)en
dc.subjectElectric vacuum aspiration (EVA)en
dc.subjectCaesarean sectionen
dc.titleEmbolisation of an acquired uterine arteriovenous malformationen
dc.typeArticle (peer-reviewed)en
oaire.citation.issue12en
oaire.citation.volume17en
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