Enhanced Myometrial Vascularity – A Rare Cause of Abnormal Uterine Bleeding

<p><strong>Abstract</strong></p>\n<p>We present a case of a woman who was diagnosed with enhanced myometrial vascularity (EMV) following a uterine aspiration due to retained products of conception (RPOC) following a first-trimester miscarriage. EMV is a rare condition characterized by a transient increase in blood flow within the myometrium, which is almost exclusively observed in the context of recent pregnancy. The clinical spectrum of EMV can range from asymptomatic to life-threatening bleeding. Vaginal ultrasonography with color Doppler is the initial diagnostic procedure for EMV, although it lacks specificity, necessitating a detailed clinical context for accurate diagnosis. Digital subtraction angiography is considered the gold standard for the diagnosis of EMV, but due to its invasive nature, it is reserved for patients requiring embolization. The optimal treatment plan for each patient depends on their specific symptoms and may involve a combination of expectant and surgical management. However, the most effective and appropriate approach remains to be determined. It is crucial to be cognizant of this condition to facilitate an expedient diagnosis and to potentially circumvent invasive therapeutic interventions.</p>