Presentation
A female patient presented with continuous vaginal bleeding after two trials of uterine curettages due to incomplete abortion.
Patient Data
Colour Doppler images show tangles of tortuous blood vessels in the uterine fundus with turbulent flow, and pulse wave Doppler image show low resistive and high-velocity flow patterns.
Case Discussion
Uterine arteriovenous malformation (AVM) is a rare vascular condition. It is either congenital or acquired (most common).
The causes of acquired conditions include pelvic trauma, surgical procedures(caesarean section, curettage(as in our case), invasive hydatidiform mole, and cervical or endometrial cancer). The differential diagnosis includes gestational trophoblastic disease (GTD).