Obstet Gynecol Sci.  2019 Jan;62(1):65-68. 10.5468/ogs.2019.62.1.65.

Cervical varix with thrombosis diagnosed in the first trimester of pregnancy

• Park JE
• Kim MJ
• Kim MK
• Kim HM

• KMID: 2430931
• DOI: http://doi.org/10.5468/ogs.2019.62.1.65

Abstract

Cervical varix is rare and can develop due to various conditions in pregnancy. Most cases of cervical varix during pregnancy are diagnosed in the second or third trimester and are usually associated with abnormal placental location, such as placenta previa or low-lying placenta. A 23-year-old woman with cervical varix bleeding visited our institution at 8 weeks of gestation. This case report describes cervical varix bleeding that developed into a venous thrombus in the first trimester. Ultrasonography with color Doppler and magnetic resonance imaging could be helpful in diagnosis.

Keyword

Varix; Vaginal bleeding; Thrombus; Pregnancy

MeSH Terms

Diagnosis
Female
Hemorrhage
Humans
Magnetic Resonance Imaging
Placenta
Placenta Previa
Pregnancy
Pregnancy Trimester, First*
Pregnancy Trimester, Third
Pregnancy*
Thrombosis*
Ultrasonography
Uterine Hemorrhage
Varicose Veins*
Young Adult

Figure

• 

  Fig. 1 (A) Computed tomography showed a cervical varix following presentation with high fever. Computed tomography revealed an intrauterine pregnancy with no other cervical abnormality. (B) The bleeding focus and cervical varix with erosion. A dark-red color change was observed in the anterior cervical lip. (C) Transvaginal ultrasonography showed cervical hypervascularity. (D) Magnetic resonance imaging showed diffuse cervical prominence with a dilated vascular channel partially filled with thrombus. (E) Computed tomography angiography showed arterial and venous hypervascularity in the cervix, which was supplied with blood from the internal iliac artery.

• 

  Fig. 2 Appearance at the first visit after discharge. (A) Ultrasonography showed that the cervical varix had disappeared. (B) Colposcopy showed normal morphology.

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