Cervical varix and low-lying placenta

Case contributed by DR Rodrigo Santillan

Presentation

Female 37 years old with 16.5 pregnancy weeks, that has presented a little transvaginal bleeding and pelvic pain.

Patient Data

Age: 37 years old
Gender: Female
Ultrasound

Cervix with a functional length of 28 mm with a hypoechoic tubular structure inside the cervical canal, after applying Doppler color, venous type pattern is seen with venous wave spectral mode that increases with Valsalva maneuver.

Case Discussion

The frequency of varicose veins in the cervix during pregnancy is rare, with approximately 15 cases being reported in the literature at the time of writing. The risk of bleeding in these cases isvery high. Risk factors include low-lying placenta and diethylstilbestrol exposure. In our case, the low insertion of placenta is the major risk factor, which is in keeping with the literature. This is caused by a low Insertion placenta, that increases the flow of cervical venous vessels.

PlayAdd to Share

Case information

rID: 47174
Case created: 3rd Aug 2016
Last edited: 4th Aug 2016
Inclusion in quiz mode: Excluded

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.