A 29 years female G4PoA3 had 16 weeks pregnancy, for which she took over the counter medications for abortion on her own. She expelled few products and presented to hospital with severe anemia ( Hb 6. 4 gm%) and fever. On examining she was severely anaemic, urine pregnancy test was faintly positive, uterus was 8 weeks in size, products were felt in cervical canal. Hb was 6.4 gm/dl, . TLC 11600/cu mm, Beta HCG - 464 miu/ml. Her USG Doppler & MRI reports were suggestive of uterine arteriovenous malformation(Figs. 1, 2). Four units PRBCs were transfused, antibiotics were given & superselective uterine artery embolization was done (Figs. 3, 4). Post UAE USG doppler showed retained products with vascularity, USG showed retained products (Figs. 5, 6). Her evacuation was performed under hysteroscopic (Fig. 7) guidance. She withstood procedure well & recovered completely.
