Cervical Varices Presenting as Vaginal Bleeding: A Description of Two Cases and A Management Plan

Authors

Kathy Chyjek
Catherine Hutz
Charles Macri, George Washington UniversityFollow
Jeffrey S. Berger, George Washington UniversityFollow
Anthony C. Venbrux, George Washington UniversityFollow
Nadia Juliet Khati, George Washington UniversityFollow
Dorothy I. Bulas, George Washington UniversityFollow
John W. Larsen, George Washington University

Document Type

Journal Article

Publication Date

2015

Journal

Obstetrics and Gynecology Cases - Reviews

Volume

2

Inclusive Pages

5

Abstract

Background: Varicose veins are common in pregnancy. However, potentially life-threatening uterine cervical varices have rarely been reported and there are currently no guidelines for their management. Cases: We present two cases of cervical varices found in the setting of second and third trimester bleeding, report on the clinical outcomes and propose a management plan. Both of our patients were delivered between 38-39 weeks gestation and required interdisciplinary meetings between Obstetrics and Gynecology, Anesthesiology, Neonatology and Interventional Radiology to prepare for delivery. Conclusion: For patients in which varices are found inside the cervix, we recommend consideration of second trimester cerclage followed by serial ultrasound and scheduled cesarean delivery. Vascular embolization should also be considered.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 License.

APA Citation

Chyjek K, Hutz C, Macri C, Berger J, Venbrux A, et al. (2015) Cervical Varices Presenting as Vaginal Bleeding: A Description of Two Cases and A Management Plan. Obstetrics and Gynecology Cases- Reviews, 2:053

Peer Reviewed

1

Open Access

1