Uterine arteriovenous malformation (AVM) is an uncommon, potentially life-threatening condition, and the primary therapeutic method is embolization. We describe a case of a 33-year-old woman with acquired uterine AVM accompanied by abnormal vaginal bleeding. The diagnosis was established by Doppler flow ultrasonography and angiography. Because this uterine AVM was extensive, uterine arterial embolization was not conclusive. We, therefore, employed a combined method under hysteroscopy and laparoscopy, in which the uterine cavity and AVM are first assessed, and then the uterine myometrial lesion is resected with a harmonic scalpel. Finally, the uterus was reconstructed with an intact uterine cavity. Abnormal vaginal bleeding was successfully stopped after the operation. This method is suitable for the treatment of uterine AVM in women wishing to preserve their fertility. 

AVM, Laparoscopy, Uterine arteriovenous malformation, Uterine artery embolization