Case report and review of literature – Enhanced myometrial vascularity

Abstract

Case report of gynecologically polymorbid patient with enhanced myometrial vascularity (EMV), review of current scientific literature on incidence, diagnostic method, and management of this phenomenon. Case report: Thirty-eight years old patient that has been treated long term for secondary sterility with medical history of laparotomic cytoreduction surgery of adenomyosis and subsequent development and treatment of postoperative intrauterine adhesions. Currently presenting with enhanced myometrial vascularity after spontaneous abortion. For symptomatic prolonged course of observation period without tendency for spontaneous regression and risk of acute hemorrhage firstly indicated for selective embolization of uterine arteries and consecutive definitive treatment via hysteroscopic resection. Conclusion: Due to low incidence and tendency for spontaneous resorption, early recognition, and correct management of enhanced myometrial vascularity still represents a medical challenge.