Arteriovenous Malformation on Caesarean Section Scar

Authors

  • Yusrawati Yusrawati Sub Division of Maternal Fetal Medicine, Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang

DOI:

https://doi.org/10.25077/aoj.1.2.100-107.2017

Abstract

Uterine arteriovenous malformations is rare case which cause secondary postpartum hemorrhage. This disor-der can cause massive and suddden vaginal bleeding. Despite of rare case, secondary arteriovenous malforma-tions can occur after a cesarean section. Patients who undergo uterine arteriovenous malformation generally have symptoms of menorrhagia or metrorrhagia after miscarriage, uterine surgery, including cesarean section, and curettage. In severe cases, this can lead to malformations of dyspnoea and heart failure. Management of AVM is by embolization, methotrexate treatment and hysterectomy depending on patient condition. Here reported a case of a patient aged 25 years with a diagnosis of P2H1, AUB ec AVM. Patients got history of caesarean section 6 months ago, and since 5 months ago patients were admitted 8 times for recurrent bleed-ing. Diagnostic examinations found AVM and hysterectomy was done. The AUB diagnosis in patients is less precise, the patient should be diagnosed with secondary postpartum hemorrhage due to uterine arteriovenous malformation acquired. Uterine arteriovenous malformation diagnosis should be considered in patients with secondary postpartum haemorrhage.

Keywords: arteriovenous malformation, a former cesarean section, AUB

References

Su, C. W. (2012). Postpartum Hemorrhage. In Prim Care Clin Office Pract (Vol. 39, pp. 167-187). Contra Costa: Elsevier Inc.

Cunningham FG, e. a. (2010). Williams Obstetric (23rd Edition ed.). (e. a. Cunningham FG, Ed.) New York: The McGraw-Hill Company

Groom, K., & Jacobson, T. (2006). The Management of Secondary Postpartum Hemorrhage. In A Texrbook of Postpartum Hemorrhage (Vol. 7, pp. 316-324). Duncow: Sapiens Publishing

Patel, S., Potti, S., & Jaspan, D. (2009). Embolization of Uterine Arteriovenous Malformation for Treatment of Menorrhagia. In Arch Gynecol Obstet (Vol. 279, pp. 229- 232). Philadelphia: Springer-Verlag

Jeve, Y., Janjua, A., & Qureshi, N. (2013). Secondary Post-Partum Hemorrhage Due to Secondary Uterine Arterio-venous Malformation following Caesarean Section. In Journal of Pharmaceutical and Biomedical Sciences (Vol. 28, pp. 643-645). Birmingham: Birmingham Women’s NHS Foundation Trust

Kelly, S., Belli, A., & Campbell, S. (2003). Arteriovenous Malformation of The Uterus Associated with Secondary Postpartum Hemorrhage. In Ultrasound Obstet Gynecol. London: John Wiley & Sons, Ltd.

Castillo, M. S., Borge, M. A., & Pierce, K. L. (2007). Embolization of a Traumatic Uterine Arteriovenous Malformation. In Seminars in Interventional Radiology (Vol. 24, pp. 296- 299). New York: Thieme Medical Publisher.

Timmerman, D., Wauters, J., Van Calenbergh, S., Van Schoubroeck, D., Maleux, G., van den Bosch, et al. (2003). Color Doppler Imaging is a Valuable Tool for the Diagnosis and Management of Uterine Vascular Malformations. In Ultrasound Obstet Gynecol (pp. 570-577). John Wiley & Sons, Ltd

Anderson, J. M., & Etches, D. (2007). Prevention and Management of Postpartum Hemorrage. In American Family Physician (Vol. 75, pp. 875-82). Western Pennsylvania: American Academy of Family Physician.

Syla, B., Fetiu, S., & Tafarshiku, S. (2011). Transabdominal Two- and Three- Dimensional Color Doppler Imaging of A Uterine Arteriovenous Malformation. In Ultrasound Obstet Gynecol (pp. 376-378). John Wiley & Sons, Ltd

Hashim, H., & Nawawi, O. (2013). Uterine Arteriovenous Malformation. In Malays J Med Sci (Vol. 20, pp. 76-80). Penerbit Universiti Sains Malaysia.

Mohamed, S., Abdullah, B., & Omar,

S. (2005). Postpartum Haemorrhage. In Biomedical Imaging and Interventional Journal. Kuala Lumpur: Department of Biomedical Imaging (Radiology), University of Malaya.

Cura, M., Martinez, N., Cura, A., Dalsaso, J., & Elmerhi, F. (2009). Arteriovenous Malformations of the Uterus. In Acta Radiologica (Vol. 50). San Antonio: Sage.

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Published

2017-07-08

Issue

Vol. 1 No. 2 (2017)

Section

CASE REPORT

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