Cervical varices: an unusual source of first-trimester hemorrhage.
Document Type
Article
Publication Date
3-1-2018
Institution/Department
Obstetrics & Gynecology
Journal Title
Journal of clinical ultrasound : JCU.
MeSH Headings
Adult, Cervix Uteri, Female, Humans, Pregnancy, Pregnancy Complications, Pregnancy Trimester, First, Pregnancy, Twin, Ultrasonography, Prenatal, Uterine Cervical Diseases, Uterine Hemorrhage, Varicose Veins
Abstract
Endocervical varices are a rare cause of obstetrical hemorrhage. Usually presenting in the second and third trimesters, bleeding varices often require pregnancy termination or indicated preterm birth via cesarean delivery. Our patient experienced variceal hemorrhage at 12 weeks' gestation in a dichorionic twin pregnancy conceived through in vitro fertilization. A low-lying placenta resolved at 19 weeks followed by variceal regression at 22 weeks' gestation. Endocervical varices causing first-trimester hemorrhage may regress with resolution of a coexisting low placental implantation, permitting planned vaginal delivery, despite progressive hemodynamic changes of pregnancy. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46:218-221, 2018.
ISSN
1097-0096
First Page
218
Last Page
221
Recommended Citation
Wax, Joseph R; Cartin, Angelina; Litton, Christian; Conroy, Kelley; and Pinette, Michael G, "Cervical varices: an unusual source of first-trimester hemorrhage." (2018). MaineHealth Maine Medical Center. 567.
https://knowledgeconnection.mainehealth.org/mmc/567