# Uterine Arteriovenous Malformation: Approach and Treatment in a Nulligravidous Virgin Woman

## TL;DR

A 20-year-old virgin with a rare uterine blood vessel condition experienced severe bleeding and was treated without vaginal procedures to preserve fertility.

## Contribution

First reported case of a nulliparous virgin with uterine arteriovenous malformation treated with coil embolization.

## Key findings

- The patient had two episodes of severe vaginal bleeding due to uterine arteriovenous malformation.
- Diagnosis was confirmed using a pelvic CT scan.
- Treatment with bilateral uterine artery coil embolization was effective and preserved fertility.

## Abstract

Uterine arteriovenous malformation is a rare condition characterized by abnormal connections between the arteries and veins in the uterus. This condition, though uncommon, can have severe implications for women’s reproductive health and requires prompt diagnosis and appropriate treatment. This case report presents a nulliparous 20-year-old virgin patient with congenital arteriovenous malformation who wanted to preserve her fertility and was refusing all vaginal approaches for diagnosis and treatment. She was admitted to our facility and had two attacks of profuse vaginal bleeding, in which she lost 3 L of blood. She was diagnosed by a pelvic CT scan and treated by bilateral uterine artery coil embolization. To our knowledge, this is the first reported case of a patient presenting with profuse vaginal bleeding who was both nulliparous and a virgin.