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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (4): 661-662    DOI: 10.12891/ceog4951.2019
Case Report Previous articles |
En bloc hysterectomy for treatment of symptomatic cervical varix in the early second trimester
M.L. Kozakiewicz1, *(), J.F. Nitsche1, P.W. Whitecar1, B.C. Brost1
1Department of Obstetrics and Gynecology, Wake Forest University School of Medicine, Winston Salem, NC, USA
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Abstract  

The authors present a case of a cervical varix with morbidly adherent placentation treated with total abdominal hysterectomy. A 38-year-old presented at 15 weeks gestation with heavy painless vaginal bleeding and was found to have complete placenta previa and a cervical varix. After recurrent episodes of heavy bleeding requiring transfusion, she elected pregnancy termination. She underwent en block total abdominal hysterectomy with the fetus in utero at 18 weeks gestation. Pathology revealed dilated vessels at the cervical os and placenta percreta. The authors conclude that en bloc abdominal hysterectomy may be a reasonable management option to reduce hemorrhage risk in patients with a symptomatic cervical varix in the setting of a morbidly adherent placenta.

Key words:  Varix      Cervical varix      Varicosity      Cervical varices      Morbidly adherent placenta      Placenta previa     
Published:  10 August 2019     
*Corresponding Author(s):  M.L. KOZAKIEWICZ     E-mail:  mkozakie@wakehealth.edu

Cite this article: 

M.L. Kozakiewicz, J.F. Nitsche, P.W. Whitecar, B.C. Brost. En bloc hysterectomy for treatment of symptomatic cervical varix in the early second trimester. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 661-662.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4951.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I4/661

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