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...

Full description

Saved in:
Bibliographic Details
Main Authors: Jyoti Dahal, Suman Raj Tamrakar, Rupesh Singh Basnyat
Format: Article
Language:English
Published: Nepal Medical Association 2025-01-01
Series:Journal of Nepal Medical Association
Subjects:
Online Access:https://www.jnma.com.np/jnma/index.php/jnma/article/view/8891
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832541123044704256
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
description 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.
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
work_keys_str_mv AT jyotidahal selectiveconventionalapproachformanagementofbleedinguterinearteriovenousmalformationacasereport
AT sumanrajtamrakar selectiveconventionalapproachformanagementofbleedinguterinearteriovenousmalformationacasereport
AT rupeshsinghbasnyat selectiveconventionalapproachformanagementofbleedinguterinearteriovenousmalformationacasereport