Pregnancy complicated by asymptomatic uterine arteriovenous malformation: a case report |
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Authors: | Nasu Kaei Yamaguchi Mina Yoshimatsu Jun Miyakawa Isao |
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Affiliation: | Department of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Japan. nasu@med.oita-u.ac.jp |
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Abstract: | 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. and the 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. |
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