Cervical varix as a cause of vaginal bleeding during pregnancy: Prenatal diagnosis by color Doppler ultrasonography

Juan Pedro Kusanovic, Eleazar Soto, Jimmy Espinoza, Susan Stites, Luís F. Gonçalves, Joaquin Santolaya, Jyh Kae Nien, Offer Erez, Yoram Sorokin, Roberto Romero

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Vaginal bleeding during pregnancy is a risk factor for adverse pregnancy outcome. Beyond 20 weeks of gestation, the most frequent causes of bleeding associated with maternal and perinatal morbidity and mortality are placenta previa and placental abruption. Cervical varix during pregnancy is a rare condition. To our knowledge, only 6 cases have been reported in the literature. Most of these cases are associated with preterm birth and high maternal morbidity. The optimal management and mode of delivery remain undetermined. We report a case of cervical varix diagnosed by transvaginal ultrasonography at 21 weeks of gestation. The pregnancy was complicated by several episodes of vaginal bleeding, and the patient delivered at 32 weeks. Color and power Doppler examination of the cervix played a key role in establishing the diagnosis.

Original languageEnglish
Pages (from-to)545-549
Number of pages5
JournalJournal of Ultrasound in Medicine
Volume25
Issue number4
DOIs
StatePublished - 1 Jan 2006
Externally publishedYes

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

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