Uterine artery malformation as a hidden cause of severe uterine bleeding. A case report.

BACKGROUND

Uterine artery malformations are rare, life-threatening conditions. Clinical suspicion is essential for a prompt diagnosis and treatment.

CASE

A 29-year-old woman was evaluated for severe uterine bleeding that started abruptly two weeks after elective termination of pregnancy. She underwent dilatation and curettage of the uterine cavity for retained products of conception. The patient presented to the emergency room two weeks later with abrupt onset of profuse vaginal bleeding that would spontaneously subside. Magnetic resonance angiography revealed a left uterine artery malformation that was successfully embolized.

CONCLUSION

Uterine artery malformations should be suspected when heavy vaginal bleeding occurs in spite of medical or surgical treatment.