{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:06:38Z","timestamp":1789153598890,"version":"build-2803163510"},"reference-count":16,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,8,30]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>\n                    Uterine arteriovenous malformations (UAVM) are diagnosed more commonly in modern times due to increasing surgical interventions, abortions and better diagnostic modalities. They pose the risk of life-threatening morbidity due to profuse haemorrhage. This case series describes three cases where vaginal bleeding continued post miscarriage, a pelvic ultrasound with Doppler imaging and MR angiography or CT angiogram confirmed a UAVM masquerading as retained products of conception.\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.sciencedirect.com\/topics\/medicine-and-dentistry\/dilation-and-curettage\"\/>\n                    Dilatation and curettage of the uterus could have been potentially devastating. These patients were successfully managed with hormonal treatment. They were given letrozole tablets and gonadotrophin analogues intramuscularly with complete resolution of the bleeding and UAVM, thus preventing any possible major surgical intervention like a hysterectomy. This case series underscores the fact that fertility preservation with only medical management is possible despite a life-threatening condition like UAVM. This, however, depends on the haemodynamic stability of the patient and the size of UAVM.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2026-273671","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T18:15:24Z","timestamp":1789150524000},"page":"e273671","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Uterine arteriovenous malformation: conservative approach in its management"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0276-0102","authenticated-orcid":false,"given":"Indrani","family":"Mukhopadhyay","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, AFMC Campus, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidhi","family":"Duhan","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Command Hospital Air Force Bangalore, Bengaluru, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania","family":"Singh","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Command Hospital Air Force Bangalore, Bengaluru, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Armed Forces Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"2026091111151532000_19.9.e273671.1","doi-asserted-by":"crossref","first-page":"1084","DOI":"10.3390\/diagnostics14111084","article-title":"Uterine Arteriovenous Malformation: Diagnostic and Therapeutic Challenges","volume":"14","author":"Clavero Bertomeu","year":"2024","journal-title":"Diagnostics"},{"key":"2026091111151532000_19.9.e273671.2","doi-asserted-by":"crossref","DOI":"10.1186\/s12905-024-03313-7","article-title":"Uterine arteriovenous malformation: a case report with proposal for pathogenesis","volume":"24","author":"Zhang","year":"2024","journal-title":"BMC Womens Health"},{"key":"2026091111151532000_19.9.e273671.3","first-page":"76","article-title":"Uterine arteriovenous malformation","volume":"20","author":"Hashim","year":"2013","journal-title":"Malays J Med Sci"},{"key":"2026091111151532000_19.9.e273671.4","doi-asserted-by":"crossref","first-page":"132","DOI":"10.4103\/GMIT.GMIT_114_18","article-title":"Uterine Arteriovenous Malformation Treated by Hysteroscopic Excision","volume":"8","author":"Kim","year":"2019","journal-title":"Gynecol Minim Invasive Ther"},{"key":"2026091111151532000_19.9.e273671.5","doi-asserted-by":"crossref","unstructured":"Calzolari S , Cozzolino M , Castellacci E , et al . Hysteroscopic Management of Uterine Arteriovenous Malformation. JSLS 2017;21. doi:10.4293\/JSLS.2016.00109","DOI":"10.4293\/JSLS.2016.00109"},{"key":"2026091111151532000_19.9.e273671.6","doi-asserted-by":"publisher","DOI":"10.1080\/02841850903008792"},{"key":"2026091111151532000_19.9.e273671.7","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.ejogrb.2022.05.005","article-title":"Medical Management of Uterine Arteriovenous Malformation: A Case Series","volume":"274","author":"Habte","year":"2022","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2026091111151532000_19.9.e273671.8","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1016\/j.fertnstert.2021.05.095","article-title":"Medical treatment of uterine arteriovenous malformation: a systematic review and meta-analysis","volume":"116","author":"Rosen","year":"2021","journal-title":"Fertil Steril"},{"key":"2026091111151532000_19.9.e273671.9","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1177\/15266028211025022","article-title":"Uterine Arteriovenous Malformation: A Pictorial Review of Diagnosis and Management","volume":"28","author":"Hoang","year":"2021","journal-title":"J Endovasc Ther"},{"key":"2026091111151532000_19.9.e273671.10","doi-asserted-by":"crossref","first-page":"167","DOI":"10.31083\/j.ceog5008167","article-title":"Ultrasound Diagnosis of Uterine Arteriovenous Malformations: A Systematic Review","volume":"50","author":"Garc\u00eda-Mejido","year":"2023","journal-title":"Clin Exp Obstet Gynecol"},{"key":"2026091111151532000_19.9.e273671.11","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1016\/j.ajog.2015.12.024","article-title":"Ultrasound diagnosis and management of acquired uterine enhanced myometrial vascularity\/arteriovenous malformations","volume":"214","author":"Timor-Tritsch","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"2026091111151532000_19.9.e273671.12","doi-asserted-by":"crossref","first-page":"151","DOI":"10.2147\/IJWH.S236443","article-title":"Obstetric Outcomes of Pregnancy After Uterine Artery Embolization","volume":"12","author":"Jitsumori","year":"2020","journal-title":"Int J Womens Health"},{"key":"2026091111151532000_19.9.e273671.13","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.jmig.2018.05.001","article-title":"Fertility, Pregnancy, and Clinical Outcomes after Uterine Arteriovenous Malformation Management","volume":"26","author":"Delplanque","year":"2019","journal-title":"J Minim Invasive Gynecol"},{"key":"2026091111151532000_19.9.e273671.14","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1016\/j.jogc.2018.07.018","article-title":"Resolution of Uterine Arteriovenous Malformation and Maintenance of Reproduction in 20 Women Treated with a GnRH Agonist Concomitantly with an Aromatase Inhibitor and Tranexamic Acid","volume":"41","author":"Vilos","year":"2019","journal-title":"J Obstet Gynaecol Can"},{"key":"2026091111151532000_19.9.e273671.15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.17756\/micr.2018-006","article-title":"Treatment of Persistent Postpartum Bleeding Associated with Retained Placental Tissue with a Gonadotropin Releasing Hormone Agonist together with an Aromatase Inhibitor and Tranexamic Acid: Experience with 2 Cases and Review of the Literature","volume":"02","author":"Vilos","year":"2018","journal-title":"J Med Imaging Case Rep"},{"key":"2026091111151532000_19.9.e273671.16","doi-asserted-by":"crossref","first-page":"1574","DOI":"10.1016\/j.fertnstert.2008.09.077","article-title":"Aromatase inhibitors prevent the estrogen rise associated with the flare effect of gonadotropins in patients treated with GnRH agonists","volume":"91","author":"Bedaiwy","year":"2009","journal-title":"Fertil Steril"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2026-273671","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T18:15:28Z","timestamp":1789150528000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2026-273671"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":16,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9,11]]},"published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1136\/bcr-2026-273671"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2026-273671","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]}}}