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Updated: Sep 4, 2025
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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A postpartum arteriovenous malformation case diagnosed with late postpartum bleeding
A C Ozturk1, E N Varli1, A T Caglar2
1Department of Obstetrics-Gynecology, Etlik Zübeyde Hanım Maternity and Women's Health Teaching and Research Hospital Ankara, Turkey.
Nigerian Journal of Clinical Practice
|July 21, 2022
Summary
Arteriovenous malformation (AVM) is a rare cause of potentially fatal postpartum hemorrhage (PPH). Hysterectomy is the definitive treatment for uterine AVM when embolization is not an option.
Area of Science:
- Obstetrics and Gynecology
- Vascular Surgery
Background:
- Postpartum hemorrhage (PPH) is a leading cause of maternal mortality globally.
- Uterine arteriovenous malformation (AVM) is an uncommon but serious cause of PPH.
Observation:
- A patient presented with secondary PPH 52 days postpartum.
- Doppler ultrasonography identified a uterine vascular lesion measuring 28x28 mm.
- Embolization was not feasible, necessitating surgical intervention.
Findings:
- Histopathological examination confirmed uterine AVM.
- Hysterectomy was performed as the definitive treatment.
Implications:
- Highlights AVM as a critical differential diagnosis for secondary PPH.
- Emphasizes hysterectomy as a viable treatment option for uterine AVM when embolization fails.
- Underscores the importance of physician awareness regarding rare causes of PPH.
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