Selective Conventional Approach for Management of Bleeding Uterine Arteriovenous Malformation: A Case Report
Uterine Arteriovenous malformation is an abnormal connection between artery and veins in the uterus. Although rare, it is an important cause of abnormal uterine bleeding in women and can lead to life threatening torrential hemorrhage. Traditionally such cases have been managed with medical therapy...
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Nepal Medical Association
2025-01-01
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Series: | Journal of Nepal Medical Association |
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Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8891 |
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author | Jyoti Dahal Suman Raj Tamrakar Rupesh Singh Basnyat |
author_facet | Jyoti Dahal Suman Raj Tamrakar Rupesh Singh Basnyat |
author_sort | Jyoti Dahal |
collection | DOAJ |
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Uterine Arteriovenous malformation is an abnormal connection between artery and veins in the uterus. Although rare, it is an important cause of abnormal uterine bleeding in women and can lead to life threatening torrential hemorrhage. Traditionally such cases have been managed with medical therapy and hysterectomy. However, selective uterine artery embolization and hysteroscopy guided procedures are the treatment of choices. We hereby report a case of 25 years lady who presented with irregular heavy vaginal bleeding and diagnosed to have uterine arteriovenous malformation by magnetic resonance imaging. She was managed conventionally with condom tamponade during bleeding due to intrauterine procedure and later with hormonal therapy. The patient later had regular cycles avoiding hysterectomy at a young age.
The objective of this case report is to share the successful application of uterine balloon tamponade (UBT) for the active management of bleeding uterine arteriovenous malformation which has not been reported so far which can be applied especially in a resource limited setup.
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format | Article |
id | doaj-art-d7c77875e8bb470395ffd6b8a6b53d6b |
institution | Kabale University |
issn | 0028-2715 1815-672X |
language | English |
publishDate | 2025-01-01 |
publisher | Nepal Medical Association |
record_format | Article |
series | Journal of Nepal Medical Association |
spelling | doaj-art-d7c77875e8bb470395ffd6b8a6b53d6b2025-02-04T09:26:16ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2025-01-016328210.31729/jnma.8891Selective Conventional Approach for Management of Bleeding Uterine Arteriovenous Malformation: A Case ReportJyoti Dahal0Suman Raj Tamrakar1Rupesh Singh Basnyat2Department of Obstetrics and Gynaecology, Kathmandu University School of Medicine, Dhulikhel, Kavre, NepalDepartment of Obstetrics and Gynaecology, Kathmandu University School of Medicine, Dhulikhel, Kavre, NepalDepartment of Obstetrics and Gynaecology, Kathmandu University School of Medicine, Dhulikhel, Kavre, Nepal Uterine Arteriovenous malformation is an abnormal connection between artery and veins in the uterus. Although rare, it is an important cause of abnormal uterine bleeding in women and can lead to life threatening torrential hemorrhage. Traditionally such cases have been managed with medical therapy and hysterectomy. However, selective uterine artery embolization and hysteroscopy guided procedures are the treatment of choices. We hereby report a case of 25 years lady who presented with irregular heavy vaginal bleeding and diagnosed to have uterine arteriovenous malformation by magnetic resonance imaging. She was managed conventionally with condom tamponade during bleeding due to intrauterine procedure and later with hormonal therapy. The patient later had regular cycles avoiding hysterectomy at a young age. The objective of this case report is to share the successful application of uterine balloon tamponade (UBT) for the active management of bleeding uterine arteriovenous malformation which has not been reported so far which can be applied especially in a resource limited setup. https://www.jnma.com.np/jnma/index.php/jnma/article/view/8891arteriovenous malformationcondom tamponadehemorrhageprogesterone |
spellingShingle | Jyoti Dahal Suman Raj Tamrakar Rupesh Singh Basnyat Selective Conventional Approach for Management of Bleeding Uterine Arteriovenous Malformation: A Case Report Journal of Nepal Medical Association arteriovenous malformation condom tamponade hemorrhage progesterone |
title | Selective Conventional Approach for Management of Bleeding Uterine Arteriovenous Malformation: A Case Report |
title_full | Selective Conventional Approach for Management of Bleeding Uterine Arteriovenous Malformation: A Case Report |
title_fullStr | Selective Conventional Approach for Management of Bleeding Uterine Arteriovenous Malformation: A Case Report |
title_full_unstemmed | Selective Conventional Approach for Management of Bleeding Uterine Arteriovenous Malformation: A Case Report |
title_short | Selective Conventional Approach for Management of Bleeding Uterine Arteriovenous Malformation: A Case Report |
title_sort | selective conventional approach for management of bleeding uterine arteriovenous malformation a case report |
topic | arteriovenous malformation condom tamponade hemorrhage progesterone |
url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/8891 |
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