# Selective Conventional Approach for Management of Bleeding Uterine Arteriovenous Malformation: A Case Report

## TL;DR

A 25-year-old woman with a rare uterine condition causing heavy bleeding was successfully treated with a conventional method, avoiding surgery.

## Contribution

This case report highlights the successful use of uterine balloon tamponade for managing uterine arteriovenous malformation, a novel approach in resource-limited settings.

## Key findings

- Uterine balloon tamponade effectively controlled active bleeding from uterine arteriovenous malformation.
- The patient maintained regular menstrual cycles without needing a hysterectomy.
- This approach is feasible in settings with limited access to advanced interventions like embolization.

## Abstract

Uterine Arteriovenous malformation is an abnormal connection between artery and veins in the uterus. Although rare, it is an important cause of abnormal uterine bleeding in women and can lead to life threatening torrential hemorrhage. Traditionally such cases have been managed with medical therapy and hysterectomy. However, selective uterine artery embolization and hysteroscopy guided procedures are the treatment of choices. We hereby report a case of 25 years lady who presented with irregular heavy vaginal bleeding and diagnosed to have uterine arteriovenous malformation by magnetic resonance imaging. She was managed conventionally with condom tamponade during bleeding due to intrauterine procedure and later with hormonal therapy. The patient later had regular cycles avoiding hysterectomy at a young age. The objective of this case report is to share the successful application of uterine balloon tamponade (UBT) for the active management of bleeding uterine arteriovenous malformation which has not been reported so far which can be applied especially in a resource limited setup.