Acquired uterine arteriovenous fistula following dilatation and curettage: an uncommon cause of vaginal bleeding

Adam Evans; Roland E Gazaille 3rd; Richard McKenzie; Meghan Musser; Robert Lemming; Jarrod Curry; William Meyers; Nicholas Austin

doi:10.1016/j.radcr.2017.01.005

Acquired uterine arteriovenous fistula following dilatation and curettage: an uncommon cause of vaginal bleeding

Radiol Case Rep. 2017 Feb 21;12(2):287-291. doi: 10.1016/j.radcr.2017.01.005. eCollection 2017 Jun.

Authors

Adam Evans¹, Roland E Gazaille 3rd¹, Richard McKenzie¹, Meghan Musser¹, Robert Lemming¹, Jarrod Curry¹, William Meyers¹, Nicholas Austin²

Affiliations

¹ Department of Diagnostic Radiology, Grandview Medical Center-Kettering Health Network, 405 W Grand Avenue, Dayton, OH 45405, USA.
² College of Osteopathic Medicine, Kansas City University of Medicine and Biosciences, Kansas City, MO, USA.

Abstract

Dysfunctional uterine bleeding is a common presentation of women in the emergency department. We describe the case of a 33-year-old female who presented with intermittent spotting due to an acquired uterine AVF. The patient underwent a transvaginal pelvic ultrasound as well as a CT angiogram. The patient was treated conservatively and elected to undergo uterine artery embolization in an effort to preserve fertility. She successfully delivered a healthy baby boy at 39-week gestation via an emergent caesarian section due to a prolapsed umbilical cord 17 months after undergoing the uterine artery embolization.

Keywords: Arteriovenous malformation; Menorrhagia; Postpartum hemorrhage.

Publication types

Case Reports