Arteriovenous Malformation of Uterine Artery: A Rare Cause of Secondary Postpartum Haemorrhage


  • Girija G


Vascular malformations (VMs) of uterine artery are extremely rare and they occur in congenital or acquired forms. Here, we discuss a case of secondary postpartum haemorrhage (PPH) diagnosed as arteriovenous malformation (AVM) of uterine artery on Doppler and angiography. Patient has single kidney. Successfully managed by hysterectomy.


Gary A Dildy III. Postpartum hemorrhage: New management options. Clin Obstet Gynecol. (2002). 45(2): 330–44.

Wald DA. Postpartum hemorrhage resulting from terine artery pseudoaneurysm. J Em Med. (2003).25(1): 57–60.

Bromley PJ, Clark T, Weir IH, Zwirewich CV. Radiologic diagnosis and management of uterine artery pseudoaneurysm: Case report. Can Assoc Radiol J. (1997). 48: 119–22.

Kwon JH, Kim GS. Obstetric iatrogenic arterial injuries of the uterus: Diagnosis with US and treatment with transcatheter arterial embolization. Radiographics. (2002). 22: 35–46.

Hansch E, Chitkara U, McAlpine J, et al. Pelvic arterial embolization for control of obstetric hemorrhage: A fi ve-year experience. Am J Obstet Gynecol. (1999). 180(6): 1454-60.

Huang MW, Muradali D, Thurston WA, Burns PN, Wilson SR. Uterine arteriovenous malformations:

Gray-scale and Doppler US features with MR imaging correlation. Radiology. (1998). 206: 115–23.

Yang JJ, Xiang Y, Wan XR, Yang XY. Diagnosis and management of uterine arteriovenous fi stulas with massive vaginal bleeding. Int J Gynecol Obstet. (2005). 89: 114–9.

Pelage JP, Le Dref O, Jacob D, et al. Selective arterial embolization of the uterine arteries in the management of intractable post-partum hemorrhage. Acta Obstet Gynecol Scand. (1999). 78(8): 698–703.

Tourne G, Collet F, Seffert P, Veyret C. Place of embolization of the uterine arteries in the management of post-partum haemorrhage: A study of 12 cases. EurJ Obstet Gynecol Reprod Biol. (2003). 110(1): 29–34.

Pelage JP, Soyer P, Repiquet D, et al. Secondary postpartum hemorrhage: Treatment with selective arterial embolization. Radiology. (1999). 212: 385–9.






Case Report