A successful pregnancy after laparoscopic surgery: severe recurrent pelvic arteriovenous malformation managed by laparoscopic internal iliac artery ligation.

Objective To show a case of severe pelvic arteriovenous malformation treated by laparoscopic internal iliac artery ligation after 2 uterine artery embolization (UAE) procedures, where successful pregnancy was achieved after surgery. Design Stepwise demonstration of the technique with a video. Setting Chinese PLA General Hospital. Interventions A 36-year-old woman with heavy menstrual bleeding was diagnosed with pelvic arteriovenous malformation by CT scan. Before surgical intervention, she underwent 2 UAE procedures, which temporarily reduced Menstrual blood loss. Finally, we performed a laparoscopic internal iliac artery ligation on her. After the surgery, she conceived naturally. During the cesarean section, no arteriovenous malformations were found. Conclusion Laparoscopic internal iliac artery ligation can be a choice for patients who still have severe symptoms of AVM after UAE.