Primigravida with history of severe arteriovenous wmalformat
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A 23-year-old primigravida presented seeking termination of pregnancy at 11 weeks and 2 days, dated by ultrasound consistent with last menstrual period. It was a medically indicated procedure with significant morbidity due to her past medical history of severe arteriovenous malformations in the liver, portal system, pelvis, and rectum. She had a history of prior venous thrombosis of the gastrointestinal tract, portal hypertension status post shunt placement, and had several dozen treatments of sclerotic therapy and blood transfusions to date. Multiplanar magnetic resonance arteriography and venography with contrast was performed.An extensive heterogeneous pelvic mass, with a predominantly high T2 signal, had characteristics suggestive of a low-flow malformation.The mass was causing significant mass effect on all pelvic structures, including superior and right sided displacement of the bowel, with displacement of the gravid uterus to the left and out of the pelvis....

http://www.edoriumjournals.com/journal-of-case-reports-and-images-in-obstetrics-and-gynecology/archive/2016-archive/100009Z08PD2016-debnath/100009Z08PD2016-debnath-full-text.php
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