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Cervical varices: an unusual etiology for third-trimester bleeding
T Hurton1, H Morrill, M Mascola
1Department of Obstetrics and Gynecology, Vincent Memorial Hospital, Harvard Medical School, Boston 02114, USA.
Journal of Clinical Ultrasound : JCU
|June 26, 1998
Summary
We describe a rare cause of third-trimester bleeding: massive cervical varices. This condition, identified via prenatal sonography, led to emergency cesarean delivery and hysterectomy, highlighting potential maternal risks.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Vascular Malformations
Background:
- Third-trimester bleeding is a significant obstetric concern.
- Cervical varices are uncommon vascular anomalies that can occur during pregnancy.
- Prompt diagnosis and management are crucial for maternal and fetal outcomes.
Observation:
- A pregnant patient presented with uterine contractions and vaginal bleeding in the third trimester.
- Prenatal sonography revealed massive cervical varices as the source of hemorrhage.
- The patient required immediate surgical intervention.
Findings:
- Massive cervical varices were identified as an unusual etiology for severe third-trimester bleeding.
- The condition necessitated emergent cesarean delivery and subsequent gravid hysterectomy.
- Prenatal diagnosis was key in identifying the cause of bleeding.
Implications:
- Cervical varices represent a rare but serious cause of obstetric hemorrhage.
- Early sonographic detection of cervical varices is vital for appropriate management.
- This case underscores the potential for significant maternal morbidity associated with cervical varices.