PubMed · 1997 · 22 citations · 0 references
MedicineGynecologyObstetricsObstetric ComplicationsReproductive MedicineReproductive SurgeryCongenital MalformationsCongenital Müllerian AnomaliesCongenital Uterine AnomaliesRecurrent Pregnancy LossVascular AnomaliesVascular MalformationsCongenital Mullerian AnomaliesEmbryologic MalformationsLive Birth Outcome AssessmentMalformation EtiologyRecurrent Pregnancy Loss ManagementRecurrent Pregnancy Loss PathologyUterine Arteriovenous MalformationUterine Repair
BACKGROUND: Arteriovenous malformations (AVM) of the uterus are a rare but potential cause of recurrent pregnancy loss. Only four cases of uterine AVM have resulted in a live birth after conservative management. There is no previous report in which a combination of a müllerian anomaly and an AVM existed concomitantly. CASE: A 33-year-old woman with a history of recurrent pregnancy loss was found to have a coexistent uterine AVM and a bicornuate uterus. The patient underwent arterial embolization and Strassman metroplasty and subsequently had a term pregnancy with a live birth. CONCLUSION: Management of uterine AVM should be individualized, taking into account the patient's desire for future fertility and the stability of her health at presentation.