{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:28:48Z","timestamp":1786739328925,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>Uterine arteriovenous malformation (UAVM) is an infrequent occurrence among postmenopausal women. Our review of the literature revealed only a few documented cases of UAVM in this demographic. Treatment options for these patients encompass uterine artery embolization (UAE), medical management, and hysterectomy. We encountered a case involving a 54-year-old woman, postmenopausal for 9 years, who presented with a history of postmenopausal bleeding over the preceding 3 months. Imaging studies confirmed the presence of UAVM. Despite an attempted UAE, the procedure proved unsuccessful, leading to the decision to perform a hysterectomy with meticulous attention to minimizing blood loss. Notably, UAE may not consistently achieve favorable outcomes in addressing UAVM in postmenopausal women, thereby underscoring the consideration of hysterectomy as a safe alternative \u2013 treatment option without any excessive intraoperative bleeding.<\/jats:p>","DOI":"10.4103\/jmh.jmh_178_24","type":"journal-article","created":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T00:00:10Z","timestamp":1735862410000},"page":"309-312","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Challenges in the Management of Postmenopausal Uterine Artery Venous Malformation"],"prefix":"10.4103","volume":"15","author":[{"given":"Pooja","family":"Sahu","sequence":"first","affiliation":[{"name":"Department of OBG, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepthy","family":"Balakrishnan","sequence":"additional","affiliation":[{"name":"Department of OBG, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjan K.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Radiology, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara Prasad","family":"Tripathy","sequence":"additional","affiliation":[{"name":"Department of Radiology, AIIMS, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1,2]]},"reference":[{"key":"R1-20250103","doi-asserted-by":"crossref","first-page":"541","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":"R2-20250103","doi-asserted-by":"crossref","first-page":"e938559","DOI":"10.12659\/AJCR.938559","article-title":"Uterine arteriovenous 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recommendations","volume":"18","author":"Munro","year":"2014","journal-title":"Perm J"},{"key":"R6-20250103","doi-asserted-by":"crossref","first-page":"e6","DOI":"10.1055\/s-0035-1563721","article-title":"A systematic review of acquired uterine arteriovenous malformations:Pathophysiology, diagnosis, and transcatheter treatment","volume":"6","author":"Yoon","year":"2016","journal-title":"AJP Rep"},{"key":"R7-20250103","doi-asserted-by":"crossref","first-page":"276","DOI":"10.5603\/GP.a2018.0047","article-title":"Uterine arteriovenous malformation \u2013Diagnosis and management","volume":"89","author":"Szpera-Go\u017adziewicz","year":"2018","journal-title":"Ginekol Pol"},{"key":"R8-20250103","first-page":"e60425","article-title":"The management of uterine arteriovenous malformations in obstetrics","volume":"16","author":"Garc\u00eda-Lima","year":"2024","journal-title":"Cureus"},{"key":"R9-20250103","first-page":"98","article-title":"N-butyl cyanoacrylate embolotherapy:Techniques, complications, and management","volume":"24","author":"Hill","year":"2018","journal-title":"Diagn Interv Radiol"},{"key":"R10-20250103","doi-asserted-by":"crossref","first-page":"e2020144","DOI":"10.4322\/acr.2020.144","article-title":"Rare occurrence of uterine arteriovenous malformation clinically mimicking a malignant growth:A critical reminder for pathologists","volume":"10","author":"Lollie","year":"2020","journal-title":"Autops Case Rep"}],"container-title":["Journal of Mid-life Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmh.jmh_178_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:28:04Z","timestamp":1786735684000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmh.jmh_178_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/jmh.jmh_178_24","relation":{},"ISSN":["0976-7800","0976-7819"],"issn-type":[{"value":"0976-7800","type":"print"},{"value":"0976-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"2024-10-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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