Planned pregnancy termination and secondary hysterectomy at 15 weeks for fetal anomaly in a previously untreated Uterine Arteriovenous Malformation A case report

BACKGROUND. uterine arteriovenous malformation (AVM) is a rare finding, typically evolving over time. Hormonal changes or trauma often stimulate its evolution. Pregnancy and related surgical procedures are two important evolving factors. CASE. A 37 years old woman gravida 3-para 0, had to terminate her third pregnancy due to a fetal anomaly at 14 weeks and 5 days of gestation in 2013. In 2009 after a vaginal bleeding, RMN and TC had diagnosed an uterine AVM. She had previously received two dilatations and curettage for *spontaneous abortions and an operative hysteroscopy for septate uterus. Preoperative arterial selective embolization was performed, in order to avoid excessive blood loss during termination and a hysterectomy was performed according to patient’s desire to avoid major complications and new pregnancy. CONCLUSION. Fertile patient women affected by AVM should receive appropriate counseling and, treatment, when requested by the woman, should be envisioned before new conception.