A case of vaginal varix during pregnancy.

Kim, Hye Ji; Lee, Gyoung Hoon

doi:2012.55.1.29

Obstet Gynecol Sci > Volume 55(1); 2012 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(1):29-32.
DOI: https://doi.org/10.5468/KJOG.2012.55.1.29 Published online January 1, 2012.

A case of vaginal varix during pregnancy.

Hye Ji Kim, Gyoung Hoon Lee

Department of Obstetrics and Gynecology, Seoul Medical Center, Seoul, Korea. ghleeobgy@gmail.com

Abstract

Vaginal varix during pregnancy is a rare condition. Only a few cases have been reported in the literature. Most vaginal varices are asymptomatic, but some are associated with a sense of local mass, or severe discomfort and spontaneous vaginal bleeding. A 32-year-old woman was admitted for acute spontaneous vaginal bleeding at 37+6 weeks' gestation. Upon pelvic inspection, we observed dilated vascular structure on the suburethral vaginal wall, and the trans-labial ultrasound imaging revealed a blood flow along the vaginal area, confirming the presence of a vaginal varix. Instead of a normal delivery, we performed a Cesarean section to prevent the potential risk of the profuse vaginal bleeding. The postoperative course was uneventful, and the mass spontaneously resolved 6 weeks after the delivery. The authors believe that this case of vaginal varix found during pregnancy is the first documented case in Korea.

Key Words: Vaginal varicose veins, Pregnancy, Hemorrhage