Introduction: Uterine AV malformation is a rare and under diagnosed cause of hemorrhage after diagnostic or therapeutic curettage, which can present with varying grades of severity. It is a potentially life-threatening condition, and diagnosis requires a high degree of suspicion on the part of the caregiver—and prompt diagnosis could save many a uterus and thus preserve fertility, due to the availability of conservative alternatives to hysterectomy.

Case: In our institution in 2023, case of symptomatic uterine AVMs has been reported of reproductive age group presenting with a history of miscarriage or termination of pregnancy for which curettage was done. The presentation was of torrential bleeding, and not controllable with regular measures. Diagnosis was by ultrasound color Doppler, and contrast MRI pelvis. The time interval between the onset of symptoms and the primary curettage was 55 days; patient underwent for bilateral uterine artery ligation followed by dilatation and curettage. On follow-up, patient’s is presently free of symptoms with no excessive bleeding or post op complications. Patient discharged in good condition.

Conclusion: Uterine AV malformation should be thought of as a differential diagnosis in all cases presenting with bleeding after miscarriage or curettage, since diagnosis is simple and treatment by selective artery ligation saves morbidity and more importantly reduces hospital stay and the absence from work.

Keywords: Arteriovenous malformation, uterine artery ligation, vascular malformations.

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Poonam Chandora