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


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