Emergency Postpartum Hysterectomy As a Consequence of Cervical Varix During Pregnancy; a Case Report and Literature Review Publisher



Saedi N¹ ; Ghaemi M¹ ; Moghadam M¹ ; Haddadi M¹ ; Hashemi Z¹ ; Hantoushzadeh S¹ Show Affiliations
Source: International Journal of Surgery Case Reports Published:2023

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. © 2023 The Authors