Recurrent severe or irregular vaginal bleeding as an indication of arteriovenous malformations

An arteriovenous malformation (AVM) is a vascular shortcutof organs arterial and venous circulation which leads to increasedvascularization.1 The true incidence of AV malformations is not knownsince the condition is rarely seen. Until 2005 <100 cases have beendocumented in the literature.2 Although quite rare, uterine AVM is apotentially life-threatening condition.3 AVM can be both congenitaland acquired. In most cases, acquired malformations in the uterusemerge from previous uterine surgery including curettage, cesareandelivery and myomectomy.1 However, the patient of this report didnot have any uterine surgery, but a standard medical evacuation forabortion.Minor vaginal bleeding after both medical and surgical evacuationfor abortion is relatively common. However, persistent or heavybleeding should be considered as a potential cause of post-terminationvaginal bleeding and request further investigation.