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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Pregnancy complicated by asymptomatic uterine arteriovenous malformation: a case report
Kaei Nasu1, Mina Yamaguchi, Jun Yoshimatsu
1Department of Obstetrics and Gynecology, Faculty of Medicine, Oita University, Japan. nasu@med.oita-u.ac.jp
Background:
Uterine arteriovenous malformation (AVM) is a rare disease. Percutaneous arterial embolization has been performed for patients who wish to preserve their ability to conceive.
Case:
A 27-year-old primigravida was admitted for treatment of threatened premature labor at 21 weeks of gestation. She had been diagnosed with asymptomatic uterine AVM 2 years previously. She had not received any treatment before conception. At 41 weeks of gestation she spontaneously delivered a healthy infant weighting 3,154 g. and the Excessive bleeding (1,600 mL) occurred, probably due to eruption of the AVM vessel at the time of parturition. At 3 months postpartum, the patient underwent arterial embolization of AVM.
Conclusion:
The management of uterine AVM should be individualized, taking into account the patient's desire to maintain her fertility and the symptoms.
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