A 38-year-old gravida 4, para 2 woman with a history of two Cesarean sections and one curettage was referred to our hospital, because of painless vaginal bleeding and 6 weeks + 2 days of amenorrhea. The first diagnosis was Cesarean scar pregnancy, managed with methotrexate. Subsequently, an arteriovenous malformation developed, which was diagnosed with color Doppler imaging. The diagnosis was confirmed with angiography. Successful bilateral uterine artery embolization was performed with ethylene vinyl alcohol copolymer (Onyx), n-butyl-2-cyanoacrylate (Histoacryl), and gelfoam.
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机译：一位38岁的gravida 4 para 2妇女，有两次剖宫产和一次刮宫病史，因为无痛的阴道流血和6周+ 2天的闭经而被转诊到我们医院。最初的诊断是剖腹产疤痕妊娠，并使用甲氨蝶呤治疗。随后，出现动静脉畸形，经彩色多普勒成像诊断。诊断已通过血管造影证实。用乙烯乙烯醇共聚物（Onyx），-2-氰基丙烯酸正丁酯（Histoacryl）和明胶成功完成了双侧子宫动脉栓塞术。
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