فهرست نشریات علمی دسترسی آزاد ایران

Uterine arteriovenous malformation (AVM) is an uncommon yet potentially life-threatening condition characterizedby significant vaginal hemorrhage. Diagnosis can be established through various imaging modalities, including dopplerultrasound, magnetic resonance imaging (MRI), computed tomography (CT), or pelvic angiography. The choiceof treatment is influenced by several factors, including the patient’s age, clinical symptoms, reproductive aspirations,and the size and anatomical location of the malformation. For symptomatic AVM in patients of reproductive age whowish to preserve fertility, uterine artery embolization (UAE) is considered the preferred therapeutic approach. Thisarticle is about the management of resistant vaginal bleeding after unsuccessful uterine artery embolization. Thisreport presents a case of uterine AVM in a 32-year-old female who experienced abnormal vaginal bleeding followingan induced abortion. The diagnosis of uterine AVM was confirmed via doppler ultrasonography. Although bilateralUAE was performed, the patient continued to experience significant vaginal bleeding. Following the unsuccessfulembolization procedure, the patient was effectively managed through bilateral hypogastric artery ligation. Abnormalvaginal bleeding may be indicative of uterine AVM, particularly in individuals with a history of cesarean delivery,induced abortion, or dilation and curettage (D/C) procedures. While transcatheter UAE is generally an effective treatment,it may not succeed in all cases.