[Differential diagnosis of varicose hemorrhage in pregnancy]

The problem of differential diagnosis of varicose bleeding is referred by means of a case of recurrent profuse vaginal bleeding during the 7th month of pregnancy. The bleeding occurred after cerclage and because of a suspected placenta praevia we did a cesarean section. This was followed by hysterectomy because of persisting bleeding. A vesico-vaginal-fistula occurred in consequence of maneuvers to stop bleeding at vaginal cuff. After recognizing and abolishing the reason of the bleeding we observed a normal healing. The closure of the fistula was successful.