Evidence map›Paper›PMID 41445677›Full record

ArticleCase reports in medicine2025

A Practice Algorithm for Distinguishing Uterine Arteriovenous Malformation in Postpregnancy Hemorrhage.

Sadhvi Batra, Mario Dervishi, Mohamed Al-Natour, Tyler Katz

Abstract read
In one paragraph

Article in Case reports in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sadhvi BatraDivision of Gynecologic Oncology, University of Michigan, Ann Arbor, 48109, Michigan, USA, umich.edu.ORCID https://orcid.org/0000-0003-4446-8548
Mario DervishiDivision of Interventional Radiology, UH Cleveland Medical Center, Cleveland, 44106, Ohio, USA, uhhospitals.org.
Mohamed Al-NatourDivision of Interventional Radiology, UH Cleveland Medical Center, Cleveland, 44106, Ohio, USA, uhhospitals.org.
Tyler KatzDepartment of Obstetrics and Gynecology, UH Cleveland Medical Center, Cleveland, 44106, Ohio, USA, uhhospitals.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Diagnosing the cause of delayed postpregnancy hemorrhage is imperative for effective management. The most common factor to lead to this is retained products of conception (RPOC); however, it is often difficult to distinguish RPOC from uterine arteriovenous malformations (AVMs). AVMs are abnormal vascular connections that can lead to sudden and persistent uterine bleeding that can be life-threatening. Though rare, there are many challenges to establishing a true diagnosis of an AVM versus RPOC and planning for treatment when a diagnosis of AVM is suspected. Methods: In this study, authors present a case series of five patients who had the potential diagnosis of an AVM and how each was managed. The authors extrapolated best practices from these five cases and created a new algorithm to tailor management for patients with concern for AVMs. Results: This algorithm relies on utilizing transvaginal ultrasound as the first diagnostic technique, facilitating an early conversation with radiology if suspicion for AVM exists, and then determining if further imaging is needed or if the clinician can proceed to diagnostic hysteroscopy. In addition, if the decision is made for hysteroscopy, consultation with interventional radiology is recommended in case of urgent intervention to prevent further morbidity with hysterectomy. Conclusion: Though much is left to be explored regarding conservative management for uterine AVM, this paper is an initial attempt at proposing a practice algorithm for multidisciplinary management of this potentially life-threatening condition.

Identifiers

PMID41445677
PMCPMC12723177

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