Author(s)

S. Haddout¹, A. Agman², P.-F. Ceccaldi³

¹Assistance Publique des hôpitaux de Paris, Paris, France.
²Hôpital Beaujon, Assistance Publique des hôpitaux de Paris, Paris, France.
³Obstétric and Gynecology Department, Hôpital Beaujon, Assistance Publique des hôpitaux de Paris, Paris, France.

Uterine arteriovenous malformations (UAVMs) are not common and are not well known. They are mainly manifested by hemorrhages that can be life-threatening. Their diagnosis is based mainly on ultrasound coupled with Doppler flow, as well as pelvic magnetic resonance imaging and angiography. In the absence of a consensus, and based on our experience, we discuss the place of hysteroscopy in the therapeutic strategy of UAVM. We reported 3 cases of UAVM, and we performed a review of the literature concerning the diagnosis and treatment of this pathology. We finally collected the advantages of the embolization-hysteroscopy sequence. In fact, the data suggest that hysteroscopy is a feasible and safe alternative treatment modality for UAVM. We believe that the resection of UAVM can be done under optimal conditions with a reduced risk of bleeding. Hysteroscopy would allow for optimal evaluation of the uterine cavity after treatment as well as the possibility of applying an anti-adhesive gel. In addition, the combination of hysteroscopy and embolization would require less healing time and shorter follow-up than embolization alone. It could also reduce the number of patients lost to follow-up.

Uterine Arteriovenous Malformation, Hysteroscopy and UAVM, Hysteroscopy and Trophoblastic Retention

Haddout, S. , Agman, A. and Ceccaldi, P. (2021) Uterine Arteriovenous Malformations: Therapeutic Strategies and the Place of Hysteroscopy. Open Journal of Obstetrics and Gynecology, 11, 1565-1580. doi: 10.4236/ojog.2021.1111146.