Successful management of intraoperative cesarean section bleeding due to cervical arteriovenous malformation: A case report
Cervical arteriovenous malformation is an exceedingly rare condition that can lead to antepartum hemorrhage, posing risks for both maternal and perinatal morbidity. We report the case of a 30-year-old primigravida, at a gestational age of 31+2 weeks, who presented to hospital with antepartum hemorrh...
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| Language: | English |
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Elsevier
2024-12-01
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| Series: | Case Reports in Women's Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214911224000882 |
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| author | Vitcha Poonyakanok Kridtin Jarutatsanangkoon Pattarawalai Talungchit |
| author_facet | Vitcha Poonyakanok Kridtin Jarutatsanangkoon Pattarawalai Talungchit |
| author_sort | Vitcha Poonyakanok |
| collection | DOAJ |
| description | Cervical arteriovenous malformation is an exceedingly rare condition that can lead to antepartum hemorrhage, posing risks for both maternal and perinatal morbidity. We report the case of a 30-year-old primigravida, at a gestational age of 31+2 weeks, who presented to hospital with antepartum hemorrhage. A speculum examination revealed a 500 mL blood clot. Despite a thorough examination, the cause of the antepartum hemorrhage remained elusive. An emergency cesarean section was done due to hypovolemic shock and a fetal NICHD category III assessment. Following the delivery of the fetus, a pulsatile tubular structure was identified at the endocervix and biopsied. Suture ligation followed by insertion of a Bakri balloon, effectively controlled the bleeding with blood loss of 1200 mL. Histopathology confirmed the diagnosis of arteriovenous malformation. This case underscores the importance of recognizing cervical arteriovenous malformation and demonstrates the effectiveness of suture ligation and balloon tamponade in managing associated hemorrhage, offering insights for similar cases. |
| format | Article |
| id | doaj-art-39f8f191953d472087cad2c44ef75ffa |
| institution | Kabale University |
| issn | 2214-9112 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Case Reports in Women's Health |
| spelling | doaj-art-39f8f191953d472087cad2c44ef75ffa2024-12-17T04:59:56ZengElsevierCase Reports in Women's Health2214-91122024-12-0144e00667Successful management of intraoperative cesarean section bleeding due to cervical arteriovenous malformation: A case reportVitcha Poonyakanok0Kridtin Jarutatsanangkoon1Pattarawalai Talungchit2Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, ThailandDepartment of Pathology, Faculty of Medicine Siriraj Hospital, Mahidol University, ThailandDepartment of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Thailand; Corresponding author at: Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wang Lang Road, Bangkok Noi, Bangkok 10700, Thailand.Cervical arteriovenous malformation is an exceedingly rare condition that can lead to antepartum hemorrhage, posing risks for both maternal and perinatal morbidity. We report the case of a 30-year-old primigravida, at a gestational age of 31+2 weeks, who presented to hospital with antepartum hemorrhage. A speculum examination revealed a 500 mL blood clot. Despite a thorough examination, the cause of the antepartum hemorrhage remained elusive. An emergency cesarean section was done due to hypovolemic shock and a fetal NICHD category III assessment. Following the delivery of the fetus, a pulsatile tubular structure was identified at the endocervix and biopsied. Suture ligation followed by insertion of a Bakri balloon, effectively controlled the bleeding with blood loss of 1200 mL. Histopathology confirmed the diagnosis of arteriovenous malformation. This case underscores the importance of recognizing cervical arteriovenous malformation and demonstrates the effectiveness of suture ligation and balloon tamponade in managing associated hemorrhage, offering insights for similar cases.http://www.sciencedirect.com/science/article/pii/S2214911224000882Arteriovenous malformationsObstetric labor complicationsObstetric surgical procedureUterine bleeding |
| spellingShingle | Vitcha Poonyakanok Kridtin Jarutatsanangkoon Pattarawalai Talungchit Successful management of intraoperative cesarean section bleeding due to cervical arteriovenous malformation: A case report Case Reports in Women's Health Arteriovenous malformations Obstetric labor complications Obstetric surgical procedure Uterine bleeding |
| title | Successful management of intraoperative cesarean section bleeding due to cervical arteriovenous malformation: A case report |
| title_full | Successful management of intraoperative cesarean section bleeding due to cervical arteriovenous malformation: A case report |
| title_fullStr | Successful management of intraoperative cesarean section bleeding due to cervical arteriovenous malformation: A case report |
| title_full_unstemmed | Successful management of intraoperative cesarean section bleeding due to cervical arteriovenous malformation: A case report |
| title_short | Successful management of intraoperative cesarean section bleeding due to cervical arteriovenous malformation: A case report |
| title_sort | successful management of intraoperative cesarean section bleeding due to cervical arteriovenous malformation a case report |
| topic | Arteriovenous malformations Obstetric labor complications Obstetric surgical procedure Uterine bleeding |
| url | http://www.sciencedirect.com/science/article/pii/S2214911224000882 |
| work_keys_str_mv | AT vitchapoonyakanok successfulmanagementofintraoperativecesareansectionbleedingduetocervicalarteriovenousmalformationacasereport AT kridtinjarutatsanangkoon successfulmanagementofintraoperativecesareansectionbleedingduetocervicalarteriovenousmalformationacasereport AT pattarawalaitalungchit successfulmanagementofintraoperativecesareansectionbleedingduetocervicalarteriovenousmalformationacasereport |