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CASE REPORT
Acquired vascular malformation in ruptured caesarean section scar: a rare cause of life-threatening vaginal bleeding
  1. Kiran Hilal1,
  2. Imrana Masroor1,
  3. Aliya Aziz2,
  4. Raza Sayani1
  1. 1Department of Radiology, Aga Khan University Hospital, Karachi, Sindh, Pakistan
  2. 2Department of Gynaecology and Obstetrics, Aga Khan University Hospital, Karachi, Sindh, Pakistan
  1. Correspondence to Dr Kiran Hilal, kiran.hilal{at}aku.edu

Summary

Uterine arteriovenous malformations (AVM) are rare and potentially life-threatening lesions. Patients present with severe vaginal bleeding which usually does not respond to conservative management and on most of occasions requires radiological or surgical intervention. We report a case of acquired AVM in a ruptured caesarean section scar. The patient presented with life-threatening vaginal bleeding and was treated with gonadotropin releasing hormone agonist and subsequent angioembolisation coiling.

https://doi.org/10.1136/bcr-2013-009489

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