Embolisation of an acquired uterine arteriovenous malformation
dc.contributor.author | Coffey, Aidan John | en |
dc.contributor.author | Galvin, Daniel | en |
dc.contributor.author | Power, Stephen | en |
dc.contributor.author | Hayes-Ryan, Deirdre | en |
dc.date.accessioned | 2025-01-17T14:49:31Z | |
dc.date.available | 2025-01-17T14:49:31Z | |
dc.date.issued | 2024-12-15 | en |
dc.description.abstract | A 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.status | Peer reviewed | en |
dc.description.version | Accepted Version | en |
dc.format.mimetype | application/pdf | en |
dc.identifier.articleid | e261005 | en |
dc.identifier.citation | Coffey, 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-2024-261005 | en |
dc.identifier.doi | https://doi.org/10.1136/bcr-2024-261005 | en |
dc.identifier.endpage | 5 | en |
dc.identifier.issn | 1757-790X | en |
dc.identifier.issued | 12 | en |
dc.identifier.journaltitle | BMJ Case Reports | en |
dc.identifier.startpage | 1 | en |
dc.identifier.uri | https://hdl.handle.net/10468/16842 | |
dc.identifier.volume | 17 | en |
dc.language.iso | en | en |
dc.publisher | BMJ Publishing Group | en |
dc.relation.ispartof | BMJ Case Reports | en |
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.org | en |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | en |
dc.subject | Uterine artery embolisation (UAE) | en |
dc.subject | Uterine arteriovenous malformation (UAVM) | en |
dc.subject | Electric vacuum aspiration (EVA) | en |
dc.subject | Caesarean section | en |
dc.title | Embolisation of an acquired uterine arteriovenous malformation | en |
dc.type | Article (peer-reviewed) | en |
oaire.citation.issue | 12 | en |
oaire.citation.volume | 17 | en |
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