Subscribe to RSS

DOI: 10.1055/s-0044-1785893
Uterine Arteriovenous Malformation by NBCA (n-butyl-cyanoacrylic)
Authors
Case Presentation: Uterine arteriosus malformation is rare case with potential life threatening vaginal bleeding. Although only few cases reported internationally literature, the real incidence uterine AVM could be higher. A patient was diagnosed with uterine AVM in Fatmawati Hospital with chief complaint of having ongoing bleeding after miscarriage and curettage procedure. Uterine AVM was suspected from transvaginal ultrasound. Then the patient underwent pelvic MRI and confirmed that there was an AVM in the left uterine isthmus. Selective angiography found feeding artery from left internal iliac artery, the nidus and draining vein to left iliac vein. Embolization was decided and done using NBCA (n-butyl-cyanoacrylic) and lipiodol. Another angiography was performed and the flow to the nidus was reduced significantly. 24 hours after embolization there was no further vaginal bleeding. Then after 2 months MRI pelvis was performed, no further images of AVM were found in the left isthmus of the uterus
Publication History
Article published online:
02 April 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
Stuttgart · New York