Uterine Artery Embolization Following Arteriovenous Malformation after Abortion; A Case Report

Background and Aim: Uterine arteriovenous malformations (AVM) is a rare congenital or acquired condition, mostly seen in the multiparous and women of reproductive age. Acquired uterine arteriovenous malformations occurs following trauma, uterine instrumentation, infection, abortion or gestational trophoblastic disease. Treatment of uterine arteriovenous malformations is based on different clinical conditions of the patient and includes drug, blood transfusion, uterine artery embolization and hysterectomy. In this article we report uterine artery embolization in a woman with uterine arteriovenous malformations 6 weeks after spontaneous abortion. Case report: A 39-year-old woman, gravida 3 and para 2, referred to our clinic with complaint of bleeding. 173 days ago, the patient had history of spontaneous abortion at the 6th week of pregnancy. After sonography, uterine artery malformation was diagnosed. Due to repeated bleeding and also due to mother's desire to preserve fertility, uterine artery embolization was performed. Conclusion: In abnormal uterine bleeding after abortion, it is necessary to perform color doppler sonography to rule out uterine artery malformation and embolization is the first and best treatment option for the women who want to preserve fertility.