• Chang Hoon Oh, Yook Kim, Bum Sang Cho, and Kyung Sik Yi.
• Department of Radiology.
• Medicine (Baltimore). 2021 Jan 15; 100 (2): e24052e24052.

RationaleUterine arteriovenous malformation (UVM), which can be congenital or acquired, is a relatively rare disorder that can cause life-threatening hemorrhage. Acquired UVM occurs predominantly after previous uterine procedures; rarely, it may occur after a hysterectomy. Although the best treatment option for UVM remains controversial, transcatheter arterial embolization (TAE) has recently been introduced as a safe and effective treatment.Patient ConcernsA 34-year-old woman who underwent hysterectomy for uncontrolled postpartum bleeding continued to have hemoperitoneum.DiagnosisTwo days after surgery, massive hemoperitoneum was identified on computed tomography scan, and acquired UVM was diagnosed by angiography.InterventionsThe patient was successfully treated using TAE with an n-Butyl cyanoacrylate.OutcomesAfter embolization, hemodynamic stability was achieved. A day after embolization, hemoglobin was 10.2 g/dL, and the patient was discharged from the hospital 4 days thereafter.LessonsAlthough the overall incidence of acquired UVM after hysterectomy is low, bleeding from acquired UVM should be considered as one of the differential diagnoses in the immediate postpartum period, especially when the clinical symptoms do not correlate with the amount of blood loss. A high index of suspicion, prompt diagnosis and intervention, and a multidisciplinary approach in the management were the elements of a successful outcome in this case.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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