Challenges in the Management of Postmenopausal Uterine Artery Venous Malformation

Uterine arteriovenous malformation (UAVM) is an infrequent occurrence among postmenopausal women. Our review of the literature revealed only a few documented cases of UAVM in this demographic. Treatment options for these patients encompass uterine artery embolization (UAE), medical management, and h...

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Main Authors: Pooja Sahu, Deepthy Balakrishnan, Ranjan K. Patel, Tara Prasad Tripathy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-10-01
Series:Journal of Mid-Life Health
Subjects:
Online Access:https://journals.lww.com/10.4103/jmh.jmh_178_24
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author Pooja Sahu
Deepthy Balakrishnan
Ranjan K. Patel
Tara Prasad Tripathy
author_facet Pooja Sahu
Deepthy Balakrishnan
Ranjan K. Patel
Tara Prasad Tripathy
author_sort Pooja Sahu
collection DOAJ
description Uterine arteriovenous malformation (UAVM) is an infrequent occurrence among postmenopausal women. Our review of the literature revealed only a few documented cases of UAVM in this demographic. Treatment options for these patients encompass uterine artery embolization (UAE), medical management, and hysterectomy. We encountered a case involving a 54-year-old woman, postmenopausal for 9 years, who presented with a history of postmenopausal bleeding over the preceding 3 months. Imaging studies confirmed the presence of UAVM. Despite an attempted UAE, the procedure proved unsuccessful, leading to the decision to perform a hysterectomy with meticulous attention to minimizing blood loss. Notably, UAE may not consistently achieve favorable outcomes in addressing UAVM in postmenopausal women, thereby underscoring the consideration of hysterectomy as a safe alternative – treatment option without any excessive intraoperative bleeding.
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language English
publishDate 2024-10-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Mid-Life Health
spelling doaj-art-45f78e6a60604fe8a7f695fb4c7568aa2025-08-20T03:00:04ZengWolters Kluwer Medknow PublicationsJournal of Mid-Life Health0976-78000976-78192024-10-0115430931210.4103/jmh.jmh_178_24Challenges in the Management of Postmenopausal Uterine Artery Venous MalformationPooja SahuDeepthy BalakrishnanRanjan K. PatelTara Prasad TripathyUterine arteriovenous malformation (UAVM) is an infrequent occurrence among postmenopausal women. Our review of the literature revealed only a few documented cases of UAVM in this demographic. Treatment options for these patients encompass uterine artery embolization (UAE), medical management, and hysterectomy. We encountered a case involving a 54-year-old woman, postmenopausal for 9 years, who presented with a history of postmenopausal bleeding over the preceding 3 months. Imaging studies confirmed the presence of UAVM. Despite an attempted UAE, the procedure proved unsuccessful, leading to the decision to perform a hysterectomy with meticulous attention to minimizing blood loss. Notably, UAE may not consistently achieve favorable outcomes in addressing UAVM in postmenopausal women, thereby underscoring the consideration of hysterectomy as a safe alternative – treatment option without any excessive intraoperative bleeding.https://journals.lww.com/10.4103/jmh.jmh_178_24hysterectomypostmenopausaluterine arteriovenous malformationuterine artery embolization
spellingShingle Pooja Sahu
Deepthy Balakrishnan
Ranjan K. Patel
Tara Prasad Tripathy
Challenges in the Management of Postmenopausal Uterine Artery Venous Malformation
Journal of Mid-Life Health
hysterectomy
postmenopausal
uterine arteriovenous malformation
uterine artery embolization
title Challenges in the Management of Postmenopausal Uterine Artery Venous Malformation
title_full Challenges in the Management of Postmenopausal Uterine Artery Venous Malformation
title_fullStr Challenges in the Management of Postmenopausal Uterine Artery Venous Malformation
title_full_unstemmed Challenges in the Management of Postmenopausal Uterine Artery Venous Malformation
title_short Challenges in the Management of Postmenopausal Uterine Artery Venous Malformation
title_sort challenges in the management of postmenopausal uterine artery venous malformation
topic hysterectomy
postmenopausal
uterine arteriovenous malformation
uterine artery embolization
url https://journals.lww.com/10.4103/jmh.jmh_178_24
work_keys_str_mv AT poojasahu challengesinthemanagementofpostmenopausaluterinearteryvenousmalformation
AT deepthybalakrishnan challengesinthemanagementofpostmenopausaluterinearteryvenousmalformation
AT ranjankpatel challengesinthemanagementofpostmenopausaluterinearteryvenousmalformation
AT taraprasadtripathy challengesinthemanagementofpostmenopausaluterinearteryvenousmalformation