True pelvic congenital arteriovenous malformation in a patient seeking pregnancy.
Marisol Doglioli, Sara Tolentino, Sabato De Cicco et al.
✦ AI-curated · Sources linked
Case in brief
A 25-year-old nulligravid woman presented with abnormal uterine bleeding and a desire for pregnancy, ultimately diagnosed with a congenital pelvic arteriovenous malformation (AVM). Initial expectant management was chosen, followed by successful conception and an uncomplicated pregnancy. To mitigate hemorrhagic risk, a planned cesarean delivery was performed with preoperative uterine artery embolization, resulting in no complications and confirmed resolution of the AVM postpartum.
Diagnostic / clinical pearl
Congenital pelvic AVMs can present diagnostic challenges in women desiring pregnancy; careful imaging and management strategies are essential to optimize outcomes.
Why it matters
This case highlights the importance of a multidisciplinary approach in managing rare vascular anomalies during pregnancy, which can significantly impact maternal and fetal health.