Spontaneous regression of uterine arteriovenous fistula

Case contributed by Dr Mahmoud Nady Hassan Mostafa

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.

Follow up after 7 weeks.

Ultrasound

Total regression of the previously seen uterine AVM .

Case Discussion

Uterine arteriovenous malformation (AVM) is often treated with uterine artery embolization (UAE), which may lead to ovarian insufficiency. Thus, avoiding UAE should be considered, particularly in women in the childbearing period.

The patient presented with lower abdominal pain one month after miscarriage with no surgical interference, 7 weeks later AVM disappeared spontaneously.

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