A Gynaecological Mystery: Navigating a Suspected Uterine Arteriovenous Malformation Versus a Vascular Fibroid

DR Amr Lila,

Dr Moustafa Yehia ,

Mr Mohamed Ismail,

Miss Sunbal Mukhtar

QEQM Hospital, East Kent Hospitals University NHS Foundation Trust, United Kingdom.

 

Introduction

Uterine
arteriovenous malformations ( and vascularised fibroids can present
similarly on imaging, both showing hypervascular uterine lesions While AVMs are rare
but potentially life threatening, fibroids are common benign tumours 【 1 】 Accurate
diagnosis is critical, as management strategies differ, and misdiagnosis can lead to
unnecessary or harmful interventions 【 2 】 This case highlights the diagnostic
dilemma between these two entities

Objectives

Highlight the diagnostic challenges in differentiating uterine AVMs from
vascularised fibroids

Describe the clinical decision making process in managing a patient with an
unresolved diagnosis despite multimodal imaging

Emphasise the importance of a multidisciplinary approach to avoid unnecessary or
inappropriate interventions