UTERINE ARTERIOVENOUS MALFORMATION IN A PATIENT WITH RECURRENT PREGNANCY LOSS AND A BICORNUATE UTERUS - A CASE-REPORT

BACKGROUND: Arteriovenous malformations (AVM) of the uterus are a rare but potential cause of recurrent pregnancy loss. Only four cases of u terine AVM have resulted in a live birth after conservative management . There is no previous report in which a combination of a mullerian an omaly and AVM existed concomitantly. CASE: A 33-year-old woman with a history of recurrent pregnancy loss was found to have a coexistent ute rine AVM and a bicornuate uterus. The patient underwent arterial embol ization and Strassman metroplasty and subsequently had a term pregnanc y with a live birth. CONCLUSION: Management of uterine AVM should be i ndividualized, taking into account the patient's desire for future fer tility and the stability of her health at presentation.