Title

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

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