Uterine artery embolization of cervical varices before second-trimester abortion.

Abstract:

BACKGROUND:Cervical varices are an extremely rare complication of pregnancy; they can result in significant maternal morbidity secondary to acute hemorrhage. There is limited evidence to guide the management of cervical varices during termination of pregnancy. CASE:A 37-year-old woman presented with recurrent vaginal hemorrhage at 17 weeks of gestation in the setting of a dichorionic-diamniotic twin gestation, an anterior placenta previa, a subchorionic hematoma visible on ultrasound examination, and prominent cervical varices. After extensive counseling, she and her husband opted for termination. Prophylactic uterine artery embolization was performed before uncomplicated laminaria placement and standard dilation and evacuation. CONCLUSION:Prophylactic uterine artery embolization may have reduced hemorrhage risk from cervical varices during dilation and evacuation for second-trimester abortion.

journal_name

Obstet Gynecol

authors

Lesko J,Carusi D,Shipp TD,Dutton C

doi

10.1097/01.AOG.0000435449.01356.99

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

458-462

issue

2 Pt 2 Suppl 2

eissn

0029-7844

issn

1873-233X

pii

00006250-201402002-00016

journal_volume

123

pub_type

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