Cavernous Hemangioma of the Uterine Cervix Revealed by Induction Failure: A Rare Case Report

Hemangiomas of the uterine cervix are rare benign vascular tumors, with fewer than a hundred cases described in the literature. Their clinical presentation is variable, most often involving abnormal genital bleeding, but they may also be discovered incidentally. Association with pregnancy is reported in a subset of cases, likely reflecting hormonal and hemodynamic influences.

We report the case of a 29-year-old woman with no prior medical history, admitted for induction of labor following intrauterine fetal death at 21 weeks of gestation. Despite multiple attempts with both pharmacologic and mechanical methods of induction, adequate cervical dilation could not be achieved-even under general anesthesia-because the cervix was unusually firm and friable, ultimately necessitating cesarean delivery. Postpartum pelvic MRI and colposcopy revealed a suspicious cervical lesion. Conization with endocervical curettage was performed, and histopathological examination confirmed the diagnosis of cavernous hemangioma of the cervix.

Cervical cavernous hemangiomas are rare and often overlooked in the differential diagnosis of cervical lesions. This case is remarkable because the lesion was revealed by repeated failure of labor induction. Awareness of such unusual presentations may help gynecologists consider vascular tumors in selected obstetric or gynecologic contexts and guide conservative, fertility-preserving management.