Department of Obstetrics and Gynaecology, Kwong Wah Hospital, Kowloon, Hong Kong.
J Obstet Gynaecol Res. 2022 Jul;48(7):1997-2004. doi: 10.1111/jog.15252. Epub 2022 Apr 1.
Cervical varices are a rare condition characterized by recurrent antepartum hemorrhage and less than 20 cases were reported in the literature. It is usually associated with placenta previa. We herein describe four cases of cervical varices without placenta previa. Meticulous speculum examination, ultrasonography with Doppler and colposcopy are essential for establishing the diagnosis and assessing the extent of the cervical varix. We propose to classify it as the apparent external os type or ultrasonography-based endocervical type. Most cases presented in the literature were delivered by cesarean section. Nevertheless, one of our cases was a successful vaginal delivery. Our case illustrates that vaginal delivery is possible in isolated cervical varices. More case reports are needed to have a better understanding of this rare entity.
宫颈静脉曲张是一种罕见的疾病，表现为反复的产前出血，文献报道不到 20 例。它通常与前置胎盘有关。本文描述了 4 例无前置胎盘的宫颈静脉曲张病例。仔细的阴道镜检查、超声多普勒检查和阴道镜检查对于明确诊断和评估宫颈静脉曲张的程度至关重要。我们建议将其分为明显的外口型或基于超声的宫颈内口型。文献中大多数病例是通过剖宫产分娩的。然而，我们的一个病例是成功的阴道分娩。我们的病例说明，在孤立的宫颈静脉曲张的情况下可以进行阴道分娩。需要更多的病例报告来更好地了解这一罕见疾病。
