Successful treatment of symptomatic arteriovenous malformation of the uterus using laparoscopic bipolar coagulation of uterine vessels

Objective: To report a case of symptomatic arteriovenous malformation (AVM) of the uterus that was successfully treated with laparoscopic bipolar coagulation of uterine vessels. Design: Case report. Setting: University-affiliated tertiary referral center. Patient(s): A 66-year-old woman with symptomatic AVM of the uterus. Intervention(s): Laparoscopic bipolar coagulation of uterine vessels. Main Outcome Measure(s): Clinical symptoms, color Doppler sonographic examination, and pelvic magnetic resonance imaging. Result(s): Remarkable shrinkage of the lesion size, obvious decrease in all of the impedance measurements (pulsatility, resistance, velocity indexes [systolic/diastolic]). and freedom from symptoms. Conclusion(s): This modality is a new alternative method for the management of patients with symptomatic AVM of the uterus who do not respond to conservative treatment. (C) 2001 by American Society for Reproductive Medicine.