case_images: PMC6333766_01
case_images: (A) Computed tomography showed a cervical varix following presentation with high fever. Computed tomography revealed an intrauterine pregnancy with no other cervical abnormality. (B) The bleeding focus and cervical varix with erosion. A dark-red color change was observed in the anterior cervical lip. (C) Transvaginal ultrasonography showed cervical hypervascularity. (D) Magnetic resonance imaging showed diffuse cervical prominence with a dilated vascular channel partially filled with thrombus. (E) Computed tomography angiography showed arterial and venous hypervascularity in the cervix, which was supplied with blood from the internal iliac artery.
case_images: ogs-62-65-g001.jpg
case_images: PMC6333766_01_ogs-62-65-g001.jpg
case_images: F1
case_images: Computed tomography revealed no focus for a fever, but a 4.5-cm cystic lesion was detected in the intrauterine cavity, suggesting early intrauterine pregnancy (Fig. 1A). Transvaginal color Doppler ultrasonography showed a dilated venous plexus with abundant blood flow in the uterine cervix, suggesting a cervical varix (Fig. 1B and C). MRI revealed a diffusely dilated vascular channel with thrombus filling the surrounding uterine cervix (Fig. 1D). CTA predicts a high likelihood of massive cervical bleeding caused by a missed abortion, uterine artery embolization can be considered before treatment. CTA revealed arterial and venous cervical hypervascularity with blood supplied by the internal iliac artery (Fig. 1E).
case_images: Appearance at the first visit after discharge. (A) Ultrasonography showed that the cervical varix had disappeared. (B) Colposcopy showed normal morphology.
case_images: ogs-62-65-g002.jpg
case_images: PMC6333766_01_ogs-62-65-g002.jpg
case_images: F2
case_images: Cervical varix was not detected on ultrasonography, but the cervical length was short (Fig. 2A). On colposcopy, the cervix had near-normal morphology, but a small red spot was observed, and the cervix seemed to be weakened, as noted for the cervix after conization (Fig. 2B).