TITLE:
Spontaneous Resolution of Traumatic AV Malformation of the Uterus Following Hysteroscopic Cold Knife Evacuation of Retained Products of Conception
AUTHORS:
Divyesh V. Shukla, Shilpi D. Shukla, Amit Shah, Sangita Patel, Vaidehi Nene
KEYWORDS:
AVM, Color Doppler, Cold Knife Evacuation, D & E, Hysteroscopy, Retained Products, Uterus, PSV
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.6,
June
11,
2020
ABSTRACT: Uterine myometrial arteriovenous malformations (AVM) are reported on
color doppler ultrasonography as mosaic pattern of blood flow with different
peak systolic velocities (PSV) at different places. High PSV within the AVM may
require arterial embolization as treatment. However, we present a case of
traumatic AVM with incomplete abortion managed by hysteroscopic cold knife
evacuation. This case report is of a young patient with off and on vaginal
bleeding for 3 1/2 months following 2nd trimester spontaneous abortion. She had
undergone dilation and evacuation (D & E) for incomplete abortion. Now the
bleeding was heavy and intermittent not responding to medications. The
subsequent TVS examination shows incomplete
abortion with myometrial AVM with high PSV. Hysteroscopic cold knife removal of
products of conception resulted in immediate resolution of Uterine AVM.