Acquired uterine arteriovenous malformation after cesarean section
HIGHLIGHTS 1. Acquired uterine arteriovenous malformation (AVM) is an uncommon sequela of cesarean section, warranting consideration in instances of persistent uterine bleeding in the puerperium. 2. Embolization represents a viable and well-established treatment modality for AVM, providing a safe...
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| Format: | Article |
| Language: | English |
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Universitas Airlangga
2024-07-01
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| Series: | Majalah Obstetri dan Ginekologi |
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| Online Access: | https://e-journal.unair.ac.id/MOG/article/view/52143 |
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| author | Fatimah Usman Muhammad Al Farisi Sutrisno Kemas Yusuf Effendi Adnan Abadi Heriyadi Manan Rizani Amran Iskandar Zulqarnain |
| author_facet | Fatimah Usman Muhammad Al Farisi Sutrisno Kemas Yusuf Effendi Adnan Abadi Heriyadi Manan Rizani Amran Iskandar Zulqarnain |
| author_sort | Fatimah Usman |
| collection | DOAJ |
| description | HIGHLIGHTS
1. Acquired uterine arteriovenous malformation (AVM) is an uncommon sequela of cesarean section, warranting consideration in instances of persistent uterine bleeding in the puerperium.
2. Embolization represents a viable and well-established treatment modality for AVM, providing a safe and efficacious intervention that serves as an alternative, less invasive modality for patients desiring fertility preservation.
ABSTRACT
Objectives: To demonstrate that embolization is a viable and well-established treatment for acquired arteriovenous malformations (AVMs), offering a safe and effective, less invasive option for patients seeking to preserve fertility.
Case Report: A 20-year-old female experiencing recurrent massive bleeding with a history of previous caesarean section and wound infection resuturing. The transvaginal color Doppler ultrasound showed a hypervascularity in the uterus around the surgical lesion, suggesting a uterine AVM and its confirmed by angiography. The patient underwent a series of uterine artery embolization interventions, which proved to be a successful therapeutic approach. As a result of this treatment modality, not only was the patient's condition effectively resolved, but her fertility was also preserved.
Conclusion: Acquired uterine arteriovenous malformation (AVM) is an uncommon sequela of cesarean section, warranting consideration in instances of persistent uterine bleeding in the puerperium. Embolization represents a viable and well-established treatment modality for AVM, providing a safe and efficacious intervention that serves as an alternative, less invasive modality for patients desiring fertility preservation. |
| format | Article |
| id | doaj-art-540870a852ef49db9f5391078902e3b2 |
| institution | Kabale University |
| issn | 0854-0381 2598-1013 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Majalah Obstetri dan Ginekologi |
| spelling | doaj-art-540870a852ef49db9f5391078902e3b22025-01-07T03:23:16ZengUniversitas AirlanggaMajalah Obstetri dan Ginekologi0854-03812598-10132024-07-0132214815510.20473/mog.V32I22024.148-15550303Acquired uterine arteriovenous malformation after cesarean sectionFatimah Usman0https://orcid.org/0009-0003-2509-340XMuhammad Al Farisi Sutrisno1https://orcid.org/0009-0001-3982-6032Kemas Yusuf Effendi2https://orcid.org/0009-0003-1827-4464Adnan Abadi3https://orcid.org/0000-0003-1886-4838Heriyadi Manan4https://orcid.org/0009-0007-2143-4018Rizani Amran5Iskandar Zulqarnain6Department of Obstetrics and Gynaecology, Faculty of Medicine, Sriwijaya University, M. Hoesin Hospital PalembangDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Sriwijaya University, M. Hoesin Hospital PalembangDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Sriwijaya University, M. Hoesin Hospital PalembangDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Sriwijaya University, M. Hoesin Hospital PalembangDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Sriwijaya University, M. Hoesin Hospital PalembangDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Sriwijaya University, M. Hoesin Hospital PalembangDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Sriwijaya University, M. Hoesin Hospital PalembangHIGHLIGHTS 1. Acquired uterine arteriovenous malformation (AVM) is an uncommon sequela of cesarean section, warranting consideration in instances of persistent uterine bleeding in the puerperium. 2. Embolization represents a viable and well-established treatment modality for AVM, providing a safe and efficacious intervention that serves as an alternative, less invasive modality for patients desiring fertility preservation. ABSTRACT Objectives: To demonstrate that embolization is a viable and well-established treatment for acquired arteriovenous malformations (AVMs), offering a safe and effective, less invasive option for patients seeking to preserve fertility. Case Report: A 20-year-old female experiencing recurrent massive bleeding with a history of previous caesarean section and wound infection resuturing. The transvaginal color Doppler ultrasound showed a hypervascularity in the uterus around the surgical lesion, suggesting a uterine AVM and its confirmed by angiography. The patient underwent a series of uterine artery embolization interventions, which proved to be a successful therapeutic approach. As a result of this treatment modality, not only was the patient's condition effectively resolved, but her fertility was also preserved. Conclusion: Acquired uterine arteriovenous malformation (AVM) is an uncommon sequela of cesarean section, warranting consideration in instances of persistent uterine bleeding in the puerperium. Embolization represents a viable and well-established treatment modality for AVM, providing a safe and efficacious intervention that serves as an alternative, less invasive modality for patients desiring fertility preservation.https://e-journal.unair.ac.id/MOG/article/view/52143arteriovenous malformation (avm)postpartum hemorrhageultrasonographyct angiographyuterine artery embolizationmaternal health |
| spellingShingle | Fatimah Usman Muhammad Al Farisi Sutrisno Kemas Yusuf Effendi Adnan Abadi Heriyadi Manan Rizani Amran Iskandar Zulqarnain Acquired uterine arteriovenous malformation after cesarean section Majalah Obstetri dan Ginekologi arteriovenous malformation (avm) postpartum hemorrhage ultrasonography ct angiography uterine artery embolization maternal health |
| title | Acquired uterine arteriovenous malformation after cesarean section |
| title_full | Acquired uterine arteriovenous malformation after cesarean section |
| title_fullStr | Acquired uterine arteriovenous malformation after cesarean section |
| title_full_unstemmed | Acquired uterine arteriovenous malformation after cesarean section |
| title_short | Acquired uterine arteriovenous malformation after cesarean section |
| title_sort | acquired uterine arteriovenous malformation after cesarean section |
| topic | arteriovenous malformation (avm) postpartum hemorrhage ultrasonography ct angiography uterine artery embolization maternal health |
| url | https://e-journal.unair.ac.id/MOG/article/view/52143 |
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