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KMID : 0358420120550010029
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Korean Journal of Obstetrics and Gynecology
2012 Volume.55 No. 1 p.29 ~ p.32
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A case of vaginal varix during pregnancy
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Kim Hae-Ji
Lee Gyoung-Hun
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Abstract
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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.
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KEYWORD
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Vaginal varicose veins, Pregnancy, Hemorrhage
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