Resection of Uterine AVM - Cost effective management in low resource set up

Abstract

Uterine arteriovenous malformation (AVM) is a vascular hamartoma of the myometrium characterized by the presence of shunts between the myometrial arteries and veins. Most of the uterine AVMs are acquired after damage to uterine tissue. AVM uterus presents most commonly with heavy bleeding per vaginum, and if left untreated can result in torrential life threatening bleeding. There are various treatment modalities for uterine AVM , namely, hysteroscopic resection , uterine artery embolisation. Both modalities have their own pros and cons. Here, we are presenting a case series of A novel technique of removal of AVM by Suction evacuation followed by check hysteroscopy, intrauterine foleys catheter tamponade.