Cervical varix with thrombosis diagnosed in 1st trimester of
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Cervical varix is rare and can develop due to various conditions in pregnancy. Most cases of cervical varix during pregnancy are diagnosed in the second or third trimester and are usually associated with abnormal placental location, such as placenta previa or low-lying placenta. The present case has been reported in the Obstet Gynecol Sci.

Herein, the authors describe a case of first trimester vaginal bleeding caused by cervical varix that developed into a venous thrombus.

A 23-year-old gravida 1, para 0 patient visited the emergency department of our tertiary center because of high fever (up to 39.4°C) and chills with myalgia and headache for 1 day. At the initial visit, her vital signs were stable except for the fever, and her history was unremarkable.

She strongly refused possibility of pregnancy, so was not done urine pregnancy test. 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. She was referred to our obstetrics department immediately.

She had a normal menstrual cycle with subsequent amenorrhea for 8 weeks. Transvaginal ultrasonography identified a gestational sac in the uterine cavity. The fetal crown-rump length was consistent with the gestational age of 8 weeks, 6 days. The fetal heart rate was 200 per minute. The fetus, uterus, and ovaries showed no gross abnormalities. The patient had no vaginal bleeding or abnormal discharge. A speculum examination showed a very small, salmon-colored patch on the surface of anterior lip of cervix.

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