Cervical varix with placenta previa totalis.
A cervical varix during pregnancy is a very rare complication. It can lead to hemorrhage and may result in significant morbidity. Furthermore, appropriate management has not yet been established. We present a case of a cervical varix with placenta previa totalis. A 30-year-old woman with placenta previa totalis also had a cervical varix without bleeding. At 32 weeks' gestation, massive hemorrhage from the cervical varix occurred. A vaginal pack controlled the bleeding, and a cesarean section was subsequently carried out because of uncontrollable uterine contractions. A 1655 g female infant was delivered; the estimated blood loss was 1814 mL. The cervical varix decreased dramatically in size. In conclusion, presented herein is a rare case of a cervical varix, which had a successful outcome.
Kumazawa
Yukiyo
Y
Division of Obstetrics and Gynecology, Department of Reproductive and Developmental Medicine, Akita Unviersity School of Medicine, Akita, Japan. kumazaway@obgyn.med.akita-u.ac.jp
Shimizu
Dai
D
Hosoya
Naoko
N
Hirano
Hideto
H
Ishiyama
Koichi
K
Tanaka
Toshinobu
T
D000328:Adult; D002584:Cervix Uteri / Q000098:blood supply*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010923:Placenta Previa / Q000473:pathology* / Q000628:therapy; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000473:pathology* / Q000628:therapy; D014648:Varicose Veins / Q000473:pathology*