Large vaginal varicosities in the pregnancy without any known systemic disease: a rare case report

Authors

  • Sadhna Soni Department of Obstetrics and Gynaecology, MKH Patiala, Punjab, India
  • Divya Sharda Department of Obstetrics and Gynaecology, MKH Patiala, Punjab, India
  • Arti Chavda Department of Obstetrics and Gynaecology, MKH Patiala, Punjab, India
  • Yashika Sheetal Department of Obstetrics and Gynaecology, MKH Patiala, Punjab, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20232310

Keywords:

Vaginal varicosities, Pregnant, Cesarean section, Hemorrhage, STI

Abstract

Vaginal varices 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 26-year-old woman was admitted for spontaneous vaginal bleeding at 38 weeks’ gestation. Upon pelvic inspection, we observed dilated vascular structure on the sub-urethral vaginal wall, and the trans-labial ultrasound imaging revealed a blood flow along the vaginal area, confirming the presence of a vaginal varicosity (Figure 3). We concluded that the mass was large vaginal varicosities as there was no discernible etiolgy. Instead of a normal delivery, we performed a cesarean section to prevent the potential risk of the profuse vaginal bleeding. For long-term management, close observation in postpartum period was recommended. Spontaneous resolution is a potential outcome and this is what our patient experienced.

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Published

2023-07-28

Issue

Section

Case Reports