Case Report
Year: 2021 | Month: September | Volume: 11 | Issue: 9 | Pages: 97-100
DOI: https://doi.org/10.52403/ijhsr.20210914
A Misdiagnosed Molar Pregnancy Ended Up in Excessive Haemorrhage Which was Later Diagnosed as a Uterine Arteriovenous Malformation
Saima Najam1, Syeda Ifra Hassan2
1Head of the Obgyn Department, BSC, MBBS, FCPS (PK), PGCert Med (UK), Dr. Sulaiman Al Habib Hospital,
Sweidi Exit 26, Hamza Bin Abdulmutalib Street, Dr. Sulaiman Al Habib Hospital, Po box 5612, Riyadh 12944, Kingdom of Saudi Arabia
2Voluntary Worker, Student of IGCSE, Manarat AL Riyadh International School, Riyadh
Corresponding Author: Saima Najam
ABSTRACT
Uterine vascular abnormalities though are not very common but are potentially life threatening as can lead to torrential vaginal bleeding. Although they are considered relatively rare, with fewer than 150 cases reported in the literature, a true incidence of the uterine AVM may be much higher. We are reporting a case which was diagnosed as molar pregnancy and suction curettage was done, at the time of the evacuation there was excessive bleeding which was immediately dealt with the tamponade by the Foleys catheter and the vaginal packs till the arrangements for the uterine artery embolization were done. At the time of embolization right uterine artery arteriovenous malformation was detected incidentally and embolized along with the uterine arteries. The post op recovery of the patient was uneventful.
Retrospectively when the Doppler ultrasound was reassessed hypoechoic lesions and dilated veins were seen in the myometrium which were misdiagnosed as molar.
In any patient if the myometrium shows dilated veins and on Doppler if abnormal active vessel flow with a coloured mosaic pattern is detected uterine AVM should be suspected and should be investigated further with the computed tomography (CT) for proper treatment of the patient and prevention of the life-threatening haemorrhage.
Key words: Uterine artery embolization, haemorrhage, dilatation and curettage. Uterine AVM.