{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T13:18:51Z","timestamp":1758201531861,"version":"3.44.0"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"2024 Annual Research Project on the Inheritance and Innovation of Traditional Chinese Medicine in Anhui Province","award":["2024CCCX235"],"award-info":[{"award-number":["2024CCCX235"]}]},{"name":"The Seventh Cycle Key Specialty Construction Project of Hefei City","award":["Hewei Medical Secret [2023] No.72"],"award-info":[{"award-number":["Hewei Medical Secret [2023] No.72"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>Uterine arteriovenous fistula is a vascular disease with a short circuit between the uterine arteries and veins. It is rare in clinical work with unclear incidence. Therefore, we aimed to summarize the disease characteristics of uterine arteriovenous fistula and provide a basis for clinical diagnosis and treatment. Herein, we present a case of cesarean scar pregnancy with uterine arteriovenous fistula in a 35-year-old woman, treated successfully with uterine artery embolization with preservation of her uterus. A preliminary diagnosis of cesarean scar pregnancy was made based on the patient\u2019s history and MRI. Bilateral uterine arteriography was performed to diagnose a cesarean scar pregnancy combined with uterine arteriovenous fistula bleeding. Hysteroscopic electroresection was performed for the uterine scar. Massive uterine bleeding occurred during the operation. There was still active bleeding after medication and intrauterine compression balloon hemostasis. Urgent bilateral uterine artery embolization was performed. After the operation, leprorelin 3.75\u2009mg was given by intramuscular injection three times, followed by oral contraceptive drospirenone ethinylestradiol tablets, one tablet a day, to prevent recurrence of uterine arteriovenous fistula. After outpatient follow-up every month, the patient was discharged from the hospital for 3\u2009months. Menstruation returned to normal after drug withdrawal, and no abnormal vaginal bleeding symptoms appeared. Uterine arteriovenous fistula should be considered in the clinical treatment of patients with abnormal vaginal bleeding who cannot be diagnosed clearly. Uterine arteriography is the definitive method, and after interventional treatment, drugs can be used to prevent recurrence and close follow-up.<\/jats:p>","DOI":"10.1177\/2050313x251376460","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T11:29:01Z","timestamp":1757935741000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Uterine arteries embolization for cesarean scar pregnancy with uterine arteriovenous fistula"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1401-4659","authenticated-orcid":false,"given":"Lei","family":"Qi","sequence":"first","affiliation":[{"name":"Imaging Center, The Third People\u2019s Hospital of Hefei, Hefei Third Clinical College of Anhui Medical University, Anhui, China"},{"name":"Oriental Pan-Vascular Devices Innovation College, University of Shanghai for Science and Technology, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4355-5749","authenticated-orcid":false,"given":"Hongzhi","family":"Sun","sequence":"additional","affiliation":[{"name":"Imaging Center, The Third People\u2019s Hospital of Hefei, Hefei Third Clinical College of Anhui Medical University, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tingting","family":"Wu","sequence":"additional","affiliation":[{"name":"Imaging Center, The Third People\u2019s Hospital of Hefei, Hefei Third Clinical College of Anhui Medical University, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maoneng","family":"Hu","sequence":"additional","affiliation":[{"name":"Imaging Center, The Third People\u2019s Hospital of Hefei, Hefei Third Clinical College of Anhui Medical University, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8167-5820","authenticated-orcid":false,"given":"Peng","family":"Ji","sequence":"additional","affiliation":[{"name":"Imaging Center, The Third People\u2019s Hospital of Hefei, Hefei Third Clinical College of Anhui Medical University, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,15]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2021.05.095"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2024.09.010"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102969"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2022.05.144"},{"issue":"3","key":"e_1_3_2_6_2","article-title":"A rare case of uterine arteriovenous malformation following a cesarean scar ectopic pregnancy","volume":"17","author":"Ditchfield JE","year":"2025","unstructured":"Ditchfield JE, Hill S, Saylany L, et al. A rare case of uterine arteriovenous malformation following a cesarean scar ectopic pregnancy. Cureus 2025; 17(3): e81497.","journal-title":"Cureus"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-024-03097-0"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/jog.14264"},{"key":"e_1_3_2_9_2","first-page":"100220","article-title":"Uterine venous malformations in the puerperium: 2 atypical cases and literature review","volume":"19","author":"Raffaello GD","year":"2023","unstructured":"Raffaello GD, Miriam D, Eliano C, et al. Uterine venous malformations in the puerperium: 2 atypical cases and literature review. Eur J Obstet Gynecol Reprod Biol X 2023; 19: 100220.","journal-title":"Eur J Obstet Gynecol Reprod Biol X"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43055-021-00683-y"},{"key":"e_1_3_2_11_2","article-title":"Severe hemorrhage due to acquired uterine arteriovenous malformation\/fistula following first-trimester aspiration abortion: a case report","volume":"34","author":"Sharpless KE","year":"2022","unstructured":"Sharpless KE, PappasII, Dobrow EM, et al. Severe hemorrhage due to acquired uterine arteriovenous malformation\/fistula following first-trimester aspiration abortion: a case report. 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Uterine artery embolization for arteriovenous malformation of the cervix. Ginekol Pol 2024; 95(12): 997\u2013998.","journal-title":"Ginekol Pol"},{"issue":"7","key":"e_1_3_2_21_2","article-title":"Uterine arteriovenous malformation with raised serum beta-human chorionic gonadotropin (\u03b2-hCG) levels: a diagnostic and therapeutic dilemma","volume":"16","author":"Sahoo B","year":"2024","unstructured":"Sahoo B, Jena KS, Mishra KS, et al. Uterine arteriovenous malformation with raised serum beta-human chorionic gonadotropin (\u03b2-hCG) levels: a diagnostic and therapeutic dilemma. Cureus 2024; 16(7): e64209.","journal-title":"Cureus"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.4103\/jmu.jmu_103_22"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics14111084"},{"issue":"3","key":"e_1_3_2_24_2","first-page":"208","article-title":"Uterine arteriovenous malformation: an alternative for conservative management. 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