EJMCR. 2020; 4(3): 107-109

Embolization of acquired uterine arteriovenous fistula and pseudoaneurysm as a definitive uterine-sparing treatment

Authors: Warren Clements.

ABSTRACT

Background: Uterine curettage after spontaneous pregnancy loss may result in complications, including acquired arteriovenous fistula (AVF), and most cases settle spontaneously with conservative or medical management. Persisting symptoms require more definitive treatment and this is usually with hysterectomy. This report shows that the embolization as a uterine-sparing surgical alternative can offer a definitive endovascular treatment strategy. Case presentation: A 34-year-old lady presented with anemia from recurrent per-vaginal bleeding which persisted for 3 months after curettage for failed early pregnancy. Ultrasound showed AVF and a large pseudoaneurysm. Angiography and embolization was performed using gelatin sponge which was able to successfully treat the vascular lesions. At 2 years follow-up, she had complete symptom resolution and preserved her uterus. Conclusion: There are only a small number of case reports in the literature to support embolization as a minimally invasive surgical alternative as a definitive treatment.

Keywords:
Case report, bleeding, fistula, AVF, pseudoaneurysm, hysterectomy, embolization


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Embolization of acquired uterine arteriovenous fistula and pseudoaneurysm as a definitive uterine-sparing treatment


Authors
Warren Clements
Department of Radiology, Alfred Hospital, Melbourne, Australia
PubMed articlesGoogle scholar articles


Correspondence to:
. Warren Clements, Department of Radiology, Alfred Health, Melbourne, Australia.; w.clements@alfred.org.au

Publication history
Received 07 Feb 2020
Revised 06 Mar 2020
Accepted 24 Mar 2020
Published in print 04 Apr 2020

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Pubmed Style

Warren Clements. Embolization of acquired uterine arteriovenous fistula and pseudoaneurysm as a definitive uterine-sparing treatment. EJMCR. 2020; 4(3): 107-109. doi:10.24911/ejmcr/173-1581037089


Web Style

Warren Clements. Embolization of acquired uterine arteriovenous fistula and pseudoaneurysm as a definitive uterine-sparing treatment. https://www.ejmcr.com/?mno=85834 [Access: June 03, 2020]. doi:10.24911/ejmcr/173-1581037089


AMA (American Medical Association) Style

Warren Clements. Embolization of acquired uterine arteriovenous fistula and pseudoaneurysm as a definitive uterine-sparing treatment. EJMCR. 2020; 4(3): 107-109. doi:10.24911/ejmcr/173-1581037089


Vancouver/ICMJE Style

Warren Clements. Embolization of acquired uterine arteriovenous fistula and pseudoaneurysm as a definitive uterine-sparing treatment. EJMCR. (2020), [cited June 03, 2020]; 4(3): 107-109. doi:10.24911/ejmcr/173-1581037089


Harvard Style

Warren Clements (2020) Embolization of acquired uterine arteriovenous fistula and pseudoaneurysm as a definitive uterine-sparing treatment. EJMCR, 4 (3), 107-109. doi:10.24911/ejmcr/173-1581037089


Turabian Style

Warren Clements. 2020. Embolization of acquired uterine arteriovenous fistula and pseudoaneurysm as a definitive uterine-sparing treatment. European Journal of Medical Case Reports, 4 (3), 107-109. doi:10.24911/ejmcr/173-1581037089


Chicago Style

Warren Clements. "Embolization of acquired uterine arteriovenous fistula and pseudoaneurysm as a definitive uterine-sparing treatment." European Journal of Medical Case Reports 4 (2020), 107-109. doi:10.24911/ejmcr/173-1581037089


MLA (The Modern Language Association) Style

Warren Clements. "Embolization of acquired uterine arteriovenous fistula and pseudoaneurysm as a definitive uterine-sparing treatment." European Journal of Medical Case Reports 4.3 (2020), 107-109. Print. doi:10.24911/ejmcr/173-1581037089


APA (American Psychological Association) Style

Warren Clements (2020) Embolization of acquired uterine arteriovenous fistula and pseudoaneurysm as a definitive uterine-sparing treatment. European Journal of Medical Case Reports, 4 (3), 107-109. doi:10.24911/ejmcr/173-1581037089


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