Research ArticleFocus on Women and Children

Successful Management of Cesarean Scar Pregnancy Complicated by an Arteriovenous Malformation

Evan S. Smith and Rajiv B. Gala
Ochsner Journal September 2015, 15 (3) 268-271;

Article Figures & Data

Figures

  • Figure 1.
    Figure 1.

    Ultrasound shows large areas of blood flow, predominantly on the periphery of the large mass (6.0 × 4.6 cm) in the lower uterine segment in the area of the patient's cesarean section scar.

  • Figure 2.
    Figure 2.

    Magnetic resonance angiogram demonstrates multiple vessels tangled in the lower pelvis arising from the right internal iliac artery, corresponding to the arteriovenous malformation or arteriovenous fistula seen on magnetic resonance imaging.

  • Figure 3.
    Figure 3.

    A 3 × 4 cm arteriovenous malformation is visible in the lower uterine segment.

  • Figure 4.
    Figure 4.

    Bilateral O'Leary sutures, traditionally used at the time of cesarean section for management of uterine artery lacerations from hysterotomy extensions, were placed on the ascending and descending uterine arteries above and below the lateral edges of the arteriovenous malformation.

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