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Cervical varices: An unusual source of first‐trimester hemorrhage
Author(s) -
Wax Joseph R.,
Cartin Angelina,
Litton Christian,
Conroy Kelley,
Pinette Michael G.
Publication year - 2017
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22504
Subject(s) - medicine , gestation , varices , pregnancy , obstetrics , vaginal bleeding , first trimester , varix , placenta , gynecology , fetus , genetics , cirrhosis , biology
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