Rare case of a massive uterine arteriovenous fistula





A 64-year-old postmenopausal woman presented with a 1-day history of severe vaginal bleeding. She denied abdominal pain and dizziness. No signs or symptoms of high-output heart failure, except for 90 beats per minute heart rate at rest. A molar pregnancy 20 years earlier was treated with dilation and curettage, followed by systemic therapy with methotrexate and folinic acid. A uterine arteriovenous fistula was discovered and managed conservatively for many years because it was asymptomatic.


Ultrasound demonstrated tubular structures in and about the uterus with low-resistance arterial waveforms. Computerized tomography showed enormous ovarian and uterine arteries, and hypogastric and right ovarian veins with early contrast enhancement ( Figure 1 ).


Aug 21, 2020 | Posted by in GYNECOLOGY | Comments Off on Rare case of a massive uterine arteriovenous fistula

Full access? Get Clinical Tree

Get Clinical Tree app for offline access