Successful use of transcatheter embolisation in an emergent life-threatening situation of bleeding from uterine arteriovenous malformation.

A 27-year-old G3P1 presented to the gynaecology emergency department with heavy vaginal bleeding for 16 days. Transvaginal ultrasound showed vascular cystic spaces in the myometrium raising a suspicion of choriocarcinoma. However, β-human chorionic gonadotrophin (β-hCG) was negative in both the urine and serum. Angiography confirmed the rarer diagnosis of uterine arteriovenous malformation (AVM). Successful abolition of the AVM was achieved by transcatheter embolisation with sequential use of polyvinyl alcohol particles, gel foam pledgets and platinum coils.