A CASE OF ANTEPARTUM HEMORRHAGE DUE TO EXTRA PLACENTAL CAUSE–RUPTURED VAGINAL VARICES

Abstract

Vaginal varix during pregnancy is a rare condition that may be a concern for hemorrhage risk during childbirth.A 32yr old female G3P2L2 with NVD at 30 weeks of gestational age presented to OBG Department (Labor Room)with massive vaginal bleeding without known history of trauma nor any evidence of Placenta previa. On examination: Vital status is unstable and upon pelvic inspection- A stream of blood through a ruptured vein in vagina(Vaginal varices). Immediately vein is clamped with artery forceps and patient is stabilized by crystalloids, Dopamine, Nor-adrenaline and 4 PRBC transfusion and under short general anesthesia (ketamine) transvaginal ligation of vaginal varices is done and pregnancy is prolonged in view of threatened preterm labor( by Isoxsuprine)and terminated by 37 weeks of gestational age by EL.LSCS., Spontaneous resolution of vaginal varices occurred.