Managing Uterine Arteriovenous Malformation (AVM) Is Like Dealing with Raging Wildfire Awaiting a Spark: Better Be Extremely Cautious & Be Ready With Countermeasures like Uterine Artery Embolization (UAE)

Fewer than 100 cases of uterine arteriovenous malformation are reported which can cause lifethreatening torrential hemorrhage. Prompt diagnosis and treatment are necessary with keeping differential diagnosis of retained products of conception and gestational trophoblastic disease in mind in cases of postpregnancy or post-abortal arteriovenous malformation. We report a case of 27 year old young nullipara female who presented with postabortal bleeding caused by uterine arteriovenous malformation and retained products of conception. Doppler and MRI results were inconclusive about exact nature of lesion. With uterine artery embolization facilities kept ready, evacuation of retained products was carried with utmost care under ultrasonography guidance. Still it caused torrential life-threatening bleeding which was successfully tackled by uterine artery embolization with an added advantage of preserving her future fertility.