Interstitial ectopic pregnancy complicated by uterine arteriovenous malformations treated with unilateral transarterial embolization.

Uterine arteriovenous malformation (AVM) often occurs in association with iatrogenic obstetrical procedures such as curettage, cesarean section, and induced delivery related to pregnancy or gestational trophoblastic disease [1]. Interstitial pregnancy complicated by uterine AVM is extremely rare and potentially dangerous. Failure to treat an interstitial pregnancy could result in uterine rupture, massive bleeding, or situations requiring hysterectomy [2]. Herein, we present such a rare case of interstitial ectopic pregnancy complicated by uterine AVM, which was diagnosed by ultrasound and angiography, and treated by unilateral uterine artery embolization. A 32-year-old woman, gravida 0, para 0, was referred to our hospital with the chief complaint of vaginal bleeding for 2 weeks because of a suspected interstitial ectopic pregnancy. Her vital signs were stable, and a physical examination revealed no rebound tenderness. Her urine beta-human chorionic gonadotropin (b-hCG) test result was positive, and a pelvic examination revealed a mildly enlarged, anteverted uterus, with tenderness in the right fundus on palpation. Ultrasonographic examination of the patient demonstrated an empty uterus, without a gestational sac. However, an eccentric nonhomogeneous mass measuring 5.56 cm 5.47 cm in diameter was identified in the right cornual region of the uterus, surrounded by an extremely thinmyometrium of <5mm thick. Furthermore, an echogenic line of endometrium abutted the center of the mass

• Publication year

  2014

• Venue

  Taiwanese Journal of Obstetrics & Gynecology

• Publication date

  2014-06-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.1016/j.tjog.2013.11.004PMID 25017288
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

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