Ectopic pregnancy after successful treatment with percutaneous transcatheter uterine arterial embolization for congenital uterine arteriovenous malformation: a case report

Archives of Gynecology and Obstetrics
Kaei NasuHisashi Narahara

Abstract

Uterine arteriovenous malformation (AVM) is a rare disease. Percutaneous transcatheter uterine arterial embolization (UAE) has been performed in patients who wish to preserve their ability to conceive. UAE is considered to be a safe and effective procedure, but its long-term effect on fertility has not been fully elucidated. We present a case of ectopic tubal pregnancy after conservative treatment with UAE for uterine AVM. A 30-year-old Japanese woman was admitted for the treatment of unruptured right tubal pregnancy at 6 weeks of gestation. She had conceived spontaneously and delivered a healthy baby at term, 3 years previously. Subsequently, she was successfully treated with UAE for a large congenital uterine AVM. Transvaginal color Doppler ultrasonography revealed no evidence of residual AVM vessels. After the diagnosis of ectopic pregnancy, the patient underwent right tubectomy. At laparotomy, there were no adhesions or structural anomalies in the pelvic cavity that might affect tubal function. The patient's postoperative course was uneventful, and she is now healthy without conception 24 months after surgery. Prior uterine arterial embolization may have affected the tubal function in the present case, allowing tubal pregna...Continue Reading

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Citations

Aug 10, 2010·Cardiovascular and Interventional Radiology·Stefan J Przybojewski, David J Sadler
Aug 22, 2008·Archives of Gynecology and Obstetrics·Hasan Kafali
Mar 30, 2016·Cardiovascular and Interventional Radiology·Andrew C PicelAnne C Roberts
Sep 10, 2011·Archives of Gynecology and Obstetrics·Panagiotis PeitsidisLukas Schwentner
Jul 16, 2009·Current Opinion in Obstetrics & Gynecology

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