Fig. 3

Uterine AVM in a 28-year-old. The patient had therapeutic D&C for molar pregnancy, after which she developed invasive GTD followed by methotrexate treatment. She came to us with persistent intermittent vaginal bleeding for one month. The serum B hCG test was negative at the time of presentation. A, B The post-contrast arterial phase image of CT angiogram shows a large dilated tuft of vessels within the posterior aspect of the endometrial canal with extensive myometrial collaterals, suggestive of AVM with nidus within the endometrium (yellow arrow). C, D Angiogram revealed multiple dilated tortuous uterine arterial branches with aneurysmal areas and early filling of veins on both sides (black arrow). E Bilateral uterine artery embolisation was performed with histoacryl glue mixed with lipiodol (blue arrow), followed by satisfactory flow stasis