Open AccessArteriovenous malformation as a consequence of a scar pregnancy
Author(s) -
RYGH ASTRID B.,
GREVE OLE J.,
FJETLAND LARS,
BERLAND JANNICKE M.,
EGGEBØ TORBJØRN M.
Publication year - 2009
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1080/00016340902971466
Subject(s) - medicine , arteriovenous malformation , pregnancy , surgery , magnetic resonance imaging , embolization , complication , ectopic pregnancy , uterus , radiology , genetics , biology
A scar pregnancy is an ectopic pregnancy implanted in a previous lower segment cesarean scar, and the incidence of this complication may be expected to rise along with increasing cesarean section rates. Arteriovenous malformation of the uterus may be congenital, associated with early pregnancy loss, trophoblastic disease, or surgical procedures. We describe a case of uterine arteriovenous malformation as a consequence of a scar pregnancy, complicated by recurrent, serious bleeding. The condition was diagnosed using three‐dimensional ultrasound with color Doppler and magnetic resonance imaging and appears not to have been described before. Selective embolization was performed, but eventually surgical intervention with resection of the affected uterine segment was necessary, and the patient recovered. The diagnosis was confirmed by pathologic‐anatomical diagnosis showing trophoblastic cells in the resected area. Because of collateral formation, non‐surgical options may be limited and not successful.