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Abnormal uterine bleeding due to uterine arteriovenous malformation in an early adolescent with intrauterine contraceptive device in situ
  1. Ilka Tan1 and
  2. Luke Toh2
  1. 1Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore
  2. 2Radiology, KK Women's and Children's Hospital, Singapore
  1. Correspondence to Dr Ilka Tan; dr.ilka.tan{at}


We report a case of uterine arteriovenous malformation in an early adolescent who presented with heavy vaginal bleeding 2 months after termination of pregnancy with copper intrauterine contraceptive device (IUCD) insertion. The patient was admitted and had medical treatment, including blood transfusion and subsequently transcatheter embolisation of the arteriovenous malformation to control her bleeding. The IUCD was left in situ. Her symptoms completely resolved by 4 months post-procedure.

  • Obstetrics and gynaecology
  • Abortion
  • Contraception
  • Interventional radiology

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content—IT and LT. The following authors gave final approval of the manuscript—IT and LT.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.