case_images: PMC10858708_01
case_images: Ultrasound with Doppler. The arrow is pointing towards the endometrium, which displays vibrant abnormal flow on color Doppler.
case_images: cureus-0016-00000052098-i01.jpg
case_images: PMC10858708_01_cureus-0016-00000052098-i01.jpg
case_images: FIG1
case_images: A further transvaginal ultrasound (TVUS) revealed vibrant abnormal flow on color Doppler, a finding that is concerning for an AVM (Figure 1).
case_images: Sagittal T1 post-contrast MRI. Arrows point towards abnormal enhancement in the endometrium.
case_images: cureus-0016-00000052098-i02.jpg
case_images: PMC10858708_01_cureus-0016-00000052098-i02.jpg
case_images: FIG2
case_images: Approximately two weeks later, the patient underwent a pelvic MRI revealing pathological abnormal enhancement in the endometrium (Figure 2).
case_images: Angiographic imaging demonstrating normal left uterine artery with normal enhancement of the uterus and fallopian tube.
case_images: cureus-0016-00000052098-i03.jpg
case_images: PMC10858708_01_cureus-0016-00000052098-i03.jpg
case_images: FIG3
case_images: AVM. At this point, the case was reviewed with another interventional radiologist who agreed, based on the angiographic images, that the uterine arteries were normal and without evidence of AVM (Figures 3-4).
case_images: Angiographic imaging demonstrating normal right uterine artery with normal enhancement of the uterus and fallopian tube.
case_images: cureus-0016-00000052098-i04.jpg
case_images: PMC10858708_01_cureus-0016-00000052098-i04.jpg
case_images: FIG4
case_images: AVM. At this point, the case was reviewed with another interventional radiologist who agreed, based on the angiographic images, that the uterine arteries were normal and without evidence of AVM (Figures 3-4).