Transarterial Embolisation of Post-traumatic Uterine AVM-Uterus Salvaging Minimally Invasive Treatment Option TD01-TD02
Dr. Udit Chauhan,
Assistant Professor, Department of Intervention and Diagnostic Radiology, All India Institute of Medical Sciences, Rishikesh-249203, Uttarakhand, India.
Uterine Arterio-Venous Malformations (AVM) are uncommon cause of uncontrolled uterine bleeding. The incidence of their occurrence is rare and is mostly associated with trauma following Dilatation and Curettage (D&C). Their recognition is important as they could lead to life threatening haemorrhage and death. Diagnosis includes a high index of suspicion coupled with modalities like colour Doppler and MRI. Hysterectomy was the main stay of treatment in the past, but in current scenario, angioembolisation is considered as the best treatment option, since most of the patients are in the young reproductive age group. Authors present a case of post D&C uterine AVM in a young female who presented with persistent uterine bleeding and was successfully treated with angioembolisation using Poly Vinyl Alcohol (PVA) particles and gel foam. We also wish to highlight important diagnostic features of uterine AVM along with available treatment options.