IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Spontaneous regression of enhanced myometrial vascularity

Case contributed by Mahmoud Nady Hassan Mostafa
Diagnosis certain

Presentation

Lower abdominal pain after miscarriage one month ago, with no history of uterine instrumentation.

Patient Data

Age: 30 years
Gender: Female

Multiple serpiginous vascular channels are seen at the uterine fundus.

Color Doppler revealed turbulent flow with low resistance waveform (RI 0.3-0.4).

Thickened endometrium.

Appearances are consistent with enhanced myometrial vascularity.

Follow up after 7 weeks

ultrasound

Total regression of the previously seen enhanced myometrial vascularity.

Case Discussion

Enhanced myometrial vascularity (EMV) is frequently misdiagnosed as a uterine arteriovenous malformation (AVM) and often thus treated with uterine artery embolization, which may lead to ovarian insufficiency. Thus, conservative management with watchful waiting should be considered instead, particularly in women in the childbearing period.

This patient presented with lower abdominal pain one month after miscarriage with no surgical interference, consistent with a history of EMV which is typically seen as a complication of pregnancy. 7 weeks later the EMV disappeared spontaneously. A true AVM will not spontaneously regress.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.