Uterine arteriovenous malformation: conservative approach in its management.
Indrani Mukhopadhyay, Nidhi Duhan, Tania Singh et al.
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Case in brief
Three patients presented with vaginal bleeding following miscarriage, which was later identified as uterine arteriovenous malformation (UAVM) through pelvic ultrasound and advanced imaging. Instead of surgical intervention, they were treated conservatively with hormonal therapy, including letrozole and gonadotrophin analogues, leading to complete resolution of symptoms and avoidance of major surgery.
Diagnostic / clinical pearl
Clinicians should consider UAVM in patients with persistent post-miscarriage bleeding, as imaging can differentiate it from retained products of conception, allowing for conservative management.
Why it matters
This case highlights the potential for successful medical management of UAVM, emphasizing the importance of individualized treatment approaches to preserve fertility in patients with this condition.