Marked Enhanced Myometrium Vascularity: Arteriovenous Malformation or Retained Product of Conception: A Case Report

Postpartum hemorrhage is one of the most common and significant complications of labor. Retained Products of Conception (RPOC) are a major cause and may mimic Arteriovenous Malformations (AVMs) on imaging. There is no clear consensus on the optimal treatment, with options including Dilation and Curettage (D&C) and uterine artery embolization. We report a ۳۶-year-old woman with severe, recurrent postpartum hemorrhage whose ultrasound findings resembled an AVM. Because the patient did not consent to embolization and the interval since delivery was short, she underwent D&C, which successfully resolved her condition. At the ۴th and ۱۲th weeks of follow-up, she had no further bleeding, and normal regular menstruation resumed after four months. Dilation and curettage can be a reasonable and effective option in carefully selected patients with myometrial hypervascularity due to RPOC. This case emphasizes the importance of individualized treatment based on patient consent and clinical conditions.

کلیدواژه ها:

Ultrasonography ، Doppler ، Postpartum Hemorrhage ، Embolization ، Retained Products of Conception ، Arteriovenous Malformations