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Uterine Arteriovenous Malformation: A Near-Missed Fatal Misdiagnosis?

Less than 100 cases of uterine arteriovenous malformations (AVM) have been documented. The true incidence remains unknown with 30% complicated by hypovolemic shock. Women who experience unexplained vaginal bleeding may consider this diagnosis. We chose to emphasize this case because, while being a r...

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Main Authors: Cindy Chin, Dayang Corieza Febriany
Format: Article
Language:English
English
Published: Penerbit UMS 2023
Subjects:
RC705-779 Diseases of the respiratory system
RG211-483 Abnormalities and diseases of the female genital organs
Online Access:https://eprints.ums.edu.my/id/eprint/38133/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/38133/2/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/38133/
https://doi.org/10.51200/bjms.v17i3.4335
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spelling my.ums.eprints.381332024-02-05T07:26:13Z https://eprints.ums.edu.my/id/eprint/38133/ Uterine Arteriovenous Malformation: A Near-Missed Fatal Misdiagnosis? Cindy Chin Dayang Corieza Febriany RC705-779 Diseases of the respiratory system RG211-483 Abnormalities and diseases of the female genital organs Less than 100 cases of uterine arteriovenous malformations (AVM) have been documented. The true incidence remains unknown with 30% complicated by hypovolemic shock. Women who experience unexplained vaginal bleeding may consider this diagnosis. We chose to emphasize this case because, while being a rare disease, it could cause mortality if misdiagnosed. In this case, a 23-year-old lady, para 1+2 with a history of several miscarriages and curettage, complained of per vaginal bleeding more than 2 months after her suction and curettage on September 2018. Her second visit was managed as having retained the product of conception and another curettage was conducted. Despite this, the patient still has worsening vaginal bleeding which leads to her third visit. A bedside ultrasound was conducted and suspected uterine AVM. This was then further confirmed with contrastenhanced computed tomography of the pelvis and pelvis angiography. Five Micronester coils and 10% Histoacryl adhesive were used to successfully embolize the uterine artery. This case report served as a valuable lesson on the importance of having a proper diagnosis and prompt treatment to avoid fatal misdiagnosis which could have disastrous consequences. Penerbit UMS 2023 Article NonPeerReviewed text en https://eprints.ums.edu.my/id/eprint/38133/1/ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/38133/2/FULL%20TEXT.pdf Cindy Chin and Dayang Corieza Febriany (2023) Uterine Arteriovenous Malformation: A Near-Missed Fatal Misdiagnosis? Borneo Journal of Medical Sciences, 17 (3). pp. 1-7. ISSN 1985-1758 https://doi.org/10.51200/bjms.v17i3.4335
institution Universiti Malaysia Sabah
building UMS Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sabah
content_source UMS Institutional Repository
url_provider http://eprints.ums.edu.my/
language English
English
topic RC705-779 Diseases of the respiratory system
RG211-483 Abnormalities and diseases of the female genital organs
spellingShingle RC705-779 Diseases of the respiratory system
RG211-483 Abnormalities and diseases of the female genital organs
Cindy Chin
Dayang Corieza Febriany
Uterine Arteriovenous Malformation: A Near-Missed Fatal Misdiagnosis?
description Less than 100 cases of uterine arteriovenous malformations (AVM) have been documented. The true incidence remains unknown with 30% complicated by hypovolemic shock. Women who experience unexplained vaginal bleeding may consider this diagnosis. We chose to emphasize this case because, while being a rare disease, it could cause mortality if misdiagnosed. In this case, a 23-year-old lady, para 1+2 with a history of several miscarriages and curettage, complained of per vaginal bleeding more than 2 months after her suction and curettage on September 2018. Her second visit was managed as having retained the product of conception and another curettage was conducted. Despite this, the patient still has worsening vaginal bleeding which leads to her third visit. A bedside ultrasound was conducted and suspected uterine AVM. This was then further confirmed with contrastenhanced computed tomography of the pelvis and pelvis angiography. Five Micronester coils and 10% Histoacryl adhesive were used to successfully embolize the uterine artery. This case report served as a valuable lesson on the importance of having a proper diagnosis and prompt treatment to avoid fatal misdiagnosis which could have disastrous consequences.
format Article
author Cindy Chin
Dayang Corieza Febriany
author_facet Cindy Chin
Dayang Corieza Febriany
author_sort Cindy Chin
title Uterine Arteriovenous Malformation: A Near-Missed Fatal Misdiagnosis?
title_short Uterine Arteriovenous Malformation: A Near-Missed Fatal Misdiagnosis?
title_full Uterine Arteriovenous Malformation: A Near-Missed Fatal Misdiagnosis?
title_fullStr Uterine Arteriovenous Malformation: A Near-Missed Fatal Misdiagnosis?
title_full_unstemmed Uterine Arteriovenous Malformation: A Near-Missed Fatal Misdiagnosis?
title_sort uterine arteriovenous malformation: a near-missed fatal misdiagnosis?
publisher Penerbit UMS
publishDate 2023
url https://eprints.ums.edu.my/id/eprint/38133/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/38133/2/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/38133/
https://doi.org/10.51200/bjms.v17i3.4335
_version_ 1792152899391848448
score 13.211869

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