Cervical varix accompanied by placenta previa in twin pregnancy.
BACKGROUND
Uterine cervical varix is a rare complication in pregnant women and can be the cause of obstetric hemorrhage in the vagina resulting in adverse events for both the mother and fetus.


METHODS
A 34-year-old Japanese woman was hospitalized at 18 weeks gestation because of cervical varix and placenta previa. Prophylactic tocolysis successfully controlled the obstetric hemorrhage. At 27 weeks gestation, emergent cesarean section was performed because of intractable hemorrhage from the marginal placenta previa. Intraabdominal findings revealed no vascular malformation of the uterus, and the operation was performed uneventfully. A speculum examination of the vagina and cervix at 1 month postpartum were unremarkable.


CONCLUSIONS
It is important to recognize the clinical features and available treatments for cervical varix.
Yoshimura
Kazuaki
K
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health, Fukuoka, Japan. yoppy@med.uoeh-u.ac.jp
Hirsch
Emmet
E
Kitano
Rei
R
Kashimura
Masamichi
M
D000328:Adult; D002584:Cervix Uteri / Q000098:blood supply*; D002585:Cesarean Section; D005260:Female; D005865:Gestational Age; D006801:Humans; D008279:Magnetic Resonance Imaging; D010923:Placenta Previa / Q000150:complications*; D011247:Pregnancy; D011248:Pregnancy Complications; D011272:Pregnancy, Multiple; D014427:Twins; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000209:etiology / Q000628:therapy; D014648:Varicose Veins / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging