Pregnancy Complicated by Cervical Varix and Low-Lying Placenta: A Case Report

Kurihara, Yasushi; Tachibana, Daisuke; Teramae, Masatomo; Matsumoto, Makiko; Terada, Hiroyuki; Sumi, Toshiyuki; Koyama, Masayasu; Ishiko, Osamu

doi:10.4137/jcm.s11276

Cited by 14 publications

(25 citation statements)

References 8 publications

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“…It emphasized that pregnant women with a prior cesarean should receive appropriate counseling concerning VBAC versus elective repeat cesarean in order to make an informed decision. This counseling would presumably include individualized risk-benefit assessment of trial of labor with likelihood of successful VBAC [7,8,9,10]…”

Section: Introductionmentioning

confidence: 99%

Predicting Vaginal Birth after Cesarean Section: A Cohort Study

Tessmer-Tuck

El-Nashar²,

Racek

et al. 2014

Gynecol Obstet Invest

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Objective: To develop a model to predict vaginal birth after cesarean (VBAC) in our population and to compare the accuracy of this model to the accuracy of a previously published widely used model. Materials and Methods: Women attempting trial of labor after cesarean delivery (TOLAC) at our institution from January 1, 2000 through May 30, 2010 were evaluated for inclusion. Demographic and clinical data were collected. Associations of these characteristics with VBAC were evaluated with univariate and multivariate logistic regression. We critically compared the accuracy of the resulting model to a previously published widely utilized model for predicting VBAC. Results: A total of 2,635 deliveries with at least 1 prior cesarean delivery were identified. TOLAC was attempted in 599 (22.7%) and resulted in 456 VBACs (76.0%) and 143 repeat cesareans (24.0%). VBAC success was independently associated with age <30 years, a body mass index <30, prior vaginal delivery, prior VBAC, and absence of a recurrent indication for cesarean. This model provided a range of successful probability of VBAC (38-98%) with an area under the receiver operating characteristic curve of 0.723. Conclusions: This study provides an accurate and simple model that can be utilized to guide decisions related to TOLAC.

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Section: Introductionmentioning

confidence: 99%

Predicting Vaginal Birth after Cesarean Section: A Cohort Study

Tessmer-Tuck

El-Nashar²,

Racek

et al. 2014

Gynecol Obstet Invest

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“…Previous studies have shown that the development of cervical varix is associated with abnormal placentation. A PubMed database search found that 6 of the 11 reported cases of cervical varix were accompanied by placenta previa or a low-lying placenta [678]. Most patients in these cases were diagnosed in the third trimester.…”

Section: Discussionmentioning

confidence: 99%

Cervical varix with thrombosis diagnosed in the first trimester of pregnancy

Park

Kim

et al. 2019

Obstet Gynecol Sci

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Cervical varix is rare and can develop due to various conditions in pregnancy. Most cases of cervical varix during pregnancy are diagnosed in the second or third trimester and are usually associated with abnormal placental location, such as placenta previa or low-lying placenta. A 23-year-old woman with cervical varix bleeding visited our institution at 8 weeks of gestation. This case report describes cervical varix bleeding that developed into a venous thrombus in the first trimester. Ultrasonography with color Doppler and magnetic resonance imaging could be helpful in diagnosis.

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“…Cervical varicosities, however, are rare and have been associated with significant risk of hemorrhage. Most reported cases have resulted in delivery due to hemorrhage during the second or third trimester [3][4][5][6][7][8][9][10][11]. Cervical varicosities diagnosed during pregnancy have been associated with maternal in utero exposure to diethylstilbestrol, Klippel-Trenaunay syndrome, and abnormal placentation [3,[7][8][9][10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

En bloc hysterectomy for treatment of symptomatic cervical varix in the early second trimester

Kozakiewicz¹,

Nitsche²,

Whitecar³

et al. 2019

Clin. Exp. Obstet. Gynecol.

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The authors present a case of a cervical varix with morbidly adherent placentation treated with total abdominal hysterectomy. A 38year-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.

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Pregnancy Complicated by Cervical Varix and Low-Lying Placenta: A Case Report

Cited by 14 publications

References 8 publications

Predicting Vaginal Birth after Cesarean Section: A Cohort Study

Predicting Vaginal Birth after Cesarean Section: A Cohort Study

Cervical varix with thrombosis diagnosed in the first trimester of pregnancy

En bloc hysterectomy for treatment of symptomatic cervical varix in the early second trimester

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