Vaginal Varix in Pregnancy

A 31-year-old woman at 35 weeks and 2 days' gestation was referred to a high-risk obstetrics clinic for evaluation of a vaginal lesion detected during a routine third-trimester prenatal visit. The lesion, a nontender purple mass, originated from the left vaginal wall and protruded into the introitus. Transvaginal ultrasonography with color Doppler confirmed its vascular origin, measuring 55 mm by 21 mm, leading to a diagnosis of vaginal varix.

Vaginal varices, also known as vaginal varicosities, are rare complications occurring in the second and third trimesters due to pregnancy-related physiological changes, including hormonal effects, increased blood volume, and mechanical compression of pelvic veins by the enlarged uterus. The case prompted a multidisciplinary discussion on delivery approaches due to potential bleeding risks, and the patient opted for a vaginal delivery. Labor was induced at 41 weeks, resulting in the uncomplicated birth of a healthy infant. At a 6-week postpartum follow-up, the vaginal varix had completely resolved.

A 31-year-old woman at 35 weeks and 2 days' gestation was referred to a high-risk obstetrics clinic for evaluation of a vaginal lesion detected during a routine third-trimester prenatal visit. The lesion, a nontender purple mass, originated from the left vaginal wall and protruded into the introitus. Transvaginal ultrasonography with color Doppler confirmed its vascular origin, measuring 55 mm by 21 mm, leading to a diagnosis of vaginal varix.

Vaginal varices, also known as vaginal varicosities, are rare complications occurring in the second and third trimesters due to pregnancy-related physiological changes, including hormonal effects, increased blood volume, and mechanical compression of pelvic veins by the enlarged uterus. The case prompted a multidisciplinary discussion on delivery approaches due to potential bleeding risks, and the patient opted for a vaginal delivery. Labor was induced at 41 weeks, resulting in the uncomplicated birth of a healthy infant. At a 6-week postpartum follow-up, the vaginal varix had completely resolved.