Oadi N. Shrateh^1,, Zainab Omarion¹, Iyas Tanib², Samir Adwan³, Mashhour Naasan²

Uterine arteriovenous malformation (UAVM) is an infrequent vascular condition although it can be fatal and threaten the patient’s life. UAVM can be categorized as congenital or acquired. The majority of cases usually present with heavy intractable abnormal uterine bleeding in the childbearing age and/or recurrent miscarriages that’s why the diagnosis of UAVM requires a high index of clinical suspicion. The exact incidence of UAVM remains to be elucidated but recent years have seen an increase in reported cases particularly after pregnancy, miscarriage and uterine surgical procedures such as Dilation and curettage (D&C). The Initial assessment of UAVM usually begins with transvaginal ultrasound (TUS) whereas angiography remains the modality of choice to confirm the diagnosis. Despite several medical agents have been employed in the treatment of the condition, In the past years, Embolization has become widely used as a first option in the management of UAVM because of its highly satisfying outcomes and more importantly avoidance of invasive procedures use with subsequent complications, especially hysterectomy which is reserved as a last resort. We herein report a young female with a confirmed congenital UAVM managed successfully via bilateral embolization of the uterine artery without the need for hysterectomy.

Uterine arteriovenous malformations (UAVMs), vascular anomalies, vascular malformation, angiography, uterine artery embolization