Successful management of uterine cervical arteriovenous malformation (Cervical AVM) by feeding vessel ligation

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Abstract

Background: Uterine arterio-venous malformation (AVM) is a serious condition, usually presented by abnormal vaginal bleeding, which may be life-threatening. It may be either corporeal or cervical. The commonly reported type was uterine corporeal AVM. Different methods of fertility-preserving techniques were used for their management. However, cases of uterine cervical AVM are scarce. Case presentation: Herein, a 27-year-old patient was diagnosed to have cervical AVM by using transvaginal color Doppler and CT angiography. A novel minimally invasive technique of feeding vessel ligation was used for her treatment, with a satisfactory outcome. Conclusions: T he vaginal approach of ligation of the descending vaginal branch of the uterine artery is a simple, feasible, safe, and cost-effective method. It could be considered a suitable therapeutic alternative for women of childbearing age desiring fertility preservation.

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