Subject(s)
Hypothyroidism/diagnosis , Pregnancy Complications/diagnosis , Female , Humans , PregnancyABSTRACT
BACKGROUND: Uterine arteriovenous malformation is a lesion that can cause recurrent pregnancy loss. Very few successful pregnancies have been reported after selective embolization of an arteriovenous malformation. CASE: A 42-year-old gravida 6 para 0 with a history of four first-trimester spontaneous abortions was found to have a uterine arteriovenous malformation by hysterosalpingogram, which was confirmed by magnetic resonance angiography. She underwent selective transcatheter embolization of the arteriovenous malformation. A twin gestation was later conceived via in vitro fertilization. The twins were delivered by cesarean at term. CONCLUSION: Uterine arteriovenous malformation can be successfully treated with selective embolization, with good obstetric outcome.
Subject(s)
Arteriovenous Malformations/diagnosis , Arteriovenous Malformations/therapy , Embolization, Therapeutic , Fertilization in Vitro , Pregnancy, Multiple , Adult , Arteriovenous Malformations/diagnostic imaging , Cesarean Section , Diagnosis, Differential , Female , Humans , Hysterosalpingography , Magnetic Resonance Angiography , Pregnancy , Twins , Uterus/blood supplyABSTRACT
BACKGROUND: Uterine artery embolization is increasingly used as an alternative to myomectomy, hysterectomy, and medical treatment for the management of symptomatic leiomyomata. CASE: A woman with an 18-week-size fibroid uterus who underwent uterine artery embolization developed a 3-cm, exquisitely tender, hypopigmented, necrotic-appearing area on the right labium minus. Spontaneous resolution occurred over 4 weeks. CONCLUSION: Labial necrosis is a possible complication of uterine artery embolization and may be successfully managed with conservative therapy.
