Figs. 1a-1d. Axial MR image shows extensive involvement of uterus by the AVM. The involvement is bilateral and there is extensive extrauterine involvement in the region of the right broad ligament. Fig. 1c.		Fig. 1b. Fig. 1d.
Case Reference No. CC-1298-13 This is a 25-year-old female with a know uterine AVM who wants to get pregnant. She was pregnant once which failed in the first trimester. A D&C was successfully done at that time without complications. The patient has been referred for possible embolotherapy. We would like to get opinions regarding the feasibility of doing embolotherapy and expecting the patient to then have an uncomplicated pregnancy.
Figs. 2a-2d. The AVM is fed primarily from the right and there are relatively large draining veins.   Fig. 2c.		Fig. 2b. Fig. 2d.
Questions: 1) Should we try to treat this alone with embolotherapy? If yes, what complications other than bleeding can we expect during pregnancy? 2) What is the natural history of uterine AVM's if they are left alone? 3) If embolotherapy is done (with or without hysterectomy), what embolic materials would best be used?