Saedi N, Ghaemi M, Moghadam M, Haddadi M, Hashemi Z, Hantoushzadeh S. Emergency postpartum hysterectomy as a consequence of cervical varix during pregnancy; a case report and literature review.
Int J Surg Case Rep 2023;
108:108425. [PMID:
37379718 PMCID:
PMC10382762 DOI:
10.1016/j.ijscr.2023.108425]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 06/01/2023] [Accepted: 06/02/2023] [Indexed: 06/30/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE
Vaginal bleeding might accrue during pregnancy and it has different causes due to the pregnancy trimester and the diagnosis and management would be crucial to prevent maternal-fetal life-threatening situations. In uncommon cases, varicose veins can emerge in the neck of the uterus, leading to a severe maternal hemorrhage.
CASE PRESENTATION
We presented a pregnant woman with vaginal bleeding and spotting during pregnancy with the diagnosis of cervical varix at 22 weeks of gestation. Close monitoring and proper patient education led to a term delivery at 37 weeks of gestation. Otherwise, an emergency postpartum hysterectomy after a cesarean section was performed due to uncontrolled bleeding from cervical varix.
CLINICAL DISCUSSION
Although rare, cervical varix should be included in the differential diagnosis in a pregnant patient who appears with extensive vaginal bleeding to reduce maternal and/or neonatal morbidity or fatality. The approved diagnosis for that is not clear.
CONCLUSION
This case report showed that Doppler and transvaginal sonography could be suitable diagnostic tools. The best management for cervical varix needs further research.
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