Journal of Clinical and Biomedical Sciences
Year: 2014, Volume: 4, Issue: 3, Pages: 321-323
Case Report
C. Swetha , Purrapallavi, K.R.Vimala*
Department of Obstetrics and Gynecology, PESIMSR Medical college, Kuppam, Andhra Pradesh, India.
*Corresponding Author
E mail : [email protected]
We report a rare case of arteriovenous malformation(AVM) presented as abnormal uterine bleeding diagnosed following two spontaneous abortions. Patient was referred from a private hospital for excessive uterine bleeding with severe anemia following spontaneous miscarriage. Clinically incomplete miscarriage was diagnosed. Ultrasound(USG) confirmed and revealed retained products of conception along with presence of A-V fistula. Evacuation was performed and severe anemia was treated with one unit of blood transfusion. A week later patient presented with another episode of heavy bleeding. Repeat USG revealed the presence of retained products with ?AVM or ?Vesicular mole. Vesicular mole was excluded by estimation of serum β HCG. The patient was managed medically using hormones and two units of blood transfusion.
Key words: Arteriovenous malformation, abnormal uterine bleeding, severe anemia
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