A young female with early pregnancy had h/o D&C done . She then developed excessive bleeding PV for 1 month.
This case was evacuated with TVS ....showed some retained products of conception, & multiple vascular cystic areas in juxtaposed myometrium with mosaic Color flow signals on Doppler. A large rounded unilocular intramural cystic mass was also noted anteriorly which showed color signals , s/o- pseudoaneurysm ( fig 1 to 4 ) .
Fig 1- TVS sag scan shows some retained products in endometrial cavity & a large round ed cystic mass in anterior uterine wall with mobile low level int. echoes .
Fig 3- TVS color Doppler scan Shows central RPOCs . Multiple anterior & posterior uterine wall vascular channels , s/o AVMs . The large anterior cystic mass with color flow indicative of pseudoaneurysm.
Post gestational uterine AVMs are encountered in gynecological practice, but associated myometrial pseudoaneurysm is a rare entity .
PS : 1) CASE & images courtesy- Dr Renu Sharma - Radiologist ( Sikar, Rajasthan , India)
2) The case study is intended for imaging specialists & medical practitioners for academic purpose only.
3) It needs further discussion & review of literature