Abstract
Introduction: Uterine arteriovenous malformations (AVMs) are very rare vascular lesions that can be fatal if left untreated. Early radiologic detection and optimal treatment by an accomplished surgeon is essential to maximize patient survival. Case Report: In this paper, the authors present the case of a 49-year-old patient with a significant history of menorrhagia, anemia, and pelvic mass. She had a pelvic ultrasound that revealed a distended uterus, which was suggestive of multiple enlarged uterine and infundibular pelvic AVMs. The patient underwent a complicated abdominal hysterectomy and bilateral-salpingo oophorectomy with right ureteral ligation. The patient has done well postoperatively. Conclusions: Arteriovenous malformations in the uterus are often undetected in patients with menorrhagia or anemia. Therefore, clinical diagnosis may be delayed, adversely affecting patient prognosis. Comprehensive imaging, multispecialty invasive radiology, and surgical management are needed to treat these patients. (J GYNECOL SURG 23:23)
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