Stepwise Treatment of Uterine Arteriovenous Malformation Complicated by a Giant Aneurysm: A Case Report

Abstract

Uterine arteriovenous malformation (AVM) is a rare condition that threatens severe uterine bleeding. We present a patient with this pathology, who was hospitalized twice within 5 months in serious condition, because she refused a hysterectomy. Ultrasonography of the uterus detected a vascular formation, the nature of which could be identified only on computed tomography (CT) angiography. Afferent vessels were embolized twice, and after the condition was stabilized, we performed a hysterectomy. For a long time, there was no recurrence of bleeding. The foregoing allows us to recommend the described tactics for the diagnosis and treatment of uterine AVM in women in similar clinical situations.