Embolization of uterine arteriovenous malformation causing postpartum hemorrhage using n-butyl cyanoacrylate: A case report

Uterine artery arteriovenous malformations (AVMs) are rare anomalies that may result in uterine hemorrhage. A 40-year-old G8P5126 woman presented with severe vaginal bleeding and an estimated 2000 mL of blood loss at home. Three weeks prior, she had a vaginal delivery of a term infant resulting in p...

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Main Authors: Henry R. Stiepel, III, MD, Charles T. Burke, MD, Jessica K. Stewart, MD
Format: Article
Language:English
Published: Elsevier 2021-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043321001175
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author Henry R. Stiepel, III, MD
Charles T. Burke, MD
Jessica K. Stewart, MD
author_facet Henry R. Stiepel, III, MD
Charles T. Burke, MD
Jessica K. Stewart, MD
author_sort Henry R. Stiepel, III, MD
collection DOAJ
description Uterine artery arteriovenous malformations (AVMs) are rare anomalies that may result in uterine hemorrhage. A 40-year-old G8P5126 woman presented with severe vaginal bleeding and an estimated 2000 mL of blood loss at home. Three weeks prior, she had a vaginal delivery of a term infant resulting in post-partum hemorrhage, with 2700 mL of blood loss. The patient had a history of ectopic pregnancy, placenta previa, and dilatation and curettage. Interventional radiology was consulted, and the patient underwent angiography of the internal iliac and uterine arteries revealing the presence of a uterine AVM, which was successfully embolized using a thick mixture of n-butyl cyanoacrylate and lipiodol. The patient experienced no further episodes of bleeding and was discharged within 24 hours. Recognition of typical symptoms and risk factors for uterine arteriovenous malformations can facilitate early diagnosis and appropriate treatment.
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spelling doaj.art-e848cd05dfc343fb8ba8b2724afce2192022-12-21T23:03:28ZengElsevierRadiology Case Reports1930-04332021-05-0116511881190Embolization of uterine arteriovenous malformation causing postpartum hemorrhage using n-butyl cyanoacrylate: A case reportHenry R. Stiepel, III, MD0Charles T. Burke, MD1Jessica K. Stewart, MD2University of North Carolina School of Medicine, Department of Radiology, Division of Vascular and Interventional Radiology, 2016 Old Clinic Bldg CB #7510, Chapel Hill, NC 27599-7510, USAUniversity of North Carolina School of Medicine, Department of Radiology, Division of Vascular and Interventional Radiology, 2016 Old Clinic Bldg CB #7510, Chapel Hill, NC 27599-7510, USACorresponding author.; University of North Carolina School of Medicine, Department of Radiology, Division of Vascular and Interventional Radiology, 2016 Old Clinic Bldg CB #7510, Chapel Hill, NC 27599-7510, USAUterine artery arteriovenous malformations (AVMs) are rare anomalies that may result in uterine hemorrhage. A 40-year-old G8P5126 woman presented with severe vaginal bleeding and an estimated 2000 mL of blood loss at home. Three weeks prior, she had a vaginal delivery of a term infant resulting in post-partum hemorrhage, with 2700 mL of blood loss. The patient had a history of ectopic pregnancy, placenta previa, and dilatation and curettage. Interventional radiology was consulted, and the patient underwent angiography of the internal iliac and uterine arteries revealing the presence of a uterine AVM, which was successfully embolized using a thick mixture of n-butyl cyanoacrylate and lipiodol. The patient experienced no further episodes of bleeding and was discharged within 24 hours. Recognition of typical symptoms and risk factors for uterine arteriovenous malformations can facilitate early diagnosis and appropriate treatment.http://www.sciencedirect.com/science/article/pii/S1930043321001175Arteriovenous malformationPostpartum hemorrhageEmbolizationArteriogram
spellingShingle Henry R. Stiepel, III, MD
Charles T. Burke, MD
Jessica K. Stewart, MD
Embolization of uterine arteriovenous malformation causing postpartum hemorrhage using n-butyl cyanoacrylate: A case report
Radiology Case Reports
Arteriovenous malformation
Postpartum hemorrhage
Embolization
Arteriogram
title Embolization of uterine arteriovenous malformation causing postpartum hemorrhage using n-butyl cyanoacrylate: A case report
title_full Embolization of uterine arteriovenous malformation causing postpartum hemorrhage using n-butyl cyanoacrylate: A case report
title_fullStr Embolization of uterine arteriovenous malformation causing postpartum hemorrhage using n-butyl cyanoacrylate: A case report
title_full_unstemmed Embolization of uterine arteriovenous malformation causing postpartum hemorrhage using n-butyl cyanoacrylate: A case report
title_short Embolization of uterine arteriovenous malformation causing postpartum hemorrhage using n-butyl cyanoacrylate: A case report
title_sort embolization of uterine arteriovenous malformation causing postpartum hemorrhage using n butyl cyanoacrylate a case report
topic Arteriovenous malformation
Postpartum hemorrhage
Embolization
Arteriogram
url http://www.sciencedirect.com/science/article/pii/S1930043321001175
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