title: [Differential diagnosis of varicose hemorrhage in pregnancy].
abstract: 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.
mesh_terms: D000328:Adult; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis*; D006801:Humans; D007044:Hysterectomy; D011183:Postoperative Complications / Q000175:diagnosis; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis*; D014621:Vagina / Q000098:blood supply*; D014648:Varicose Veins / Q000175:diagnosis*; D014719:Vesicovaginal Fistula / Q000175:diagnosis
vernacular_title: Differentialdiagnose der Varizenblutung in der Schwangerschaft.