INTERNATIONAL JOURNAL OF MEDICAL AND APPLIED SCIENCES ISSN:2320‐3137 395 www.earthjournals.org Volume 2 Issue 4 2013 Case Report A CASE OF VAGINAL VARIX DURING PREGNANCY Anirban Mandal 1*, Swapan Das 2 , Debasish Char 2 , Biswapratim Rudra 3 1. Asst. Professor , Dept of Obstetrics and Gynaecology, Bankura Sammilani Medical College, Bankura ,West Bengal , India 2. RMO, Dept of Obstetrics and Gynaecology, Bankura Sammilani Medical College, Bankura ,West Bengal , India 3. Senior Resident , Dept of Obstetrics and Gynaecology, Bankura Sammilani Medical College, Bankura ,West Bengal , India ABSTRACT Vaginal varix, located in the vaginal and periurethral wall,are reported less frequently.Vaginal varix in non-pregnant state does not exibit a serious threat; however, during pregnancy, the spontaneous lacerration of the vaginal varix can cause significant blood loss. Here we report a case of vaginal varix during pregnancy and the varix was detected after completion of emergency cesarean section during speculum examination of vagina to rule out traumatic cause of primary PPH. Haemostatic suture was given to stop bleeding from varix.Post operative period was uneventful. At 6weeks postpartum evaluation the speculum examination of vagina showed the complete disappearance of vaginal varix. Keywords: vaginal varix,Pregnancy, PPH. INTRODUCTION Vaginal Varix during Pregnancy is a rare condition. Most vaginal varices are asymptomatic, but some are associated with a sense of local mass or spontaneous vaginal bleeding. Vaginal varix in non pregnant state does not exhibit a serious threat ; however, during pregnancy the spontaneous laceration of the vaginal varix can cause significant blood loss. Therefore, an obstetrician should be aware of its clinical importance. CASE REPORT A twenty years old primi gravid woman carrying 38 weeks pregnancy with no significant medical history admitted in obstetric ward of B.S. Medical College, Bankura with features of obstructed labor. The case was referred from nearby rural hospital. She was undergone emergency L.S.C.S. the deeply engaged head was delivered by insinuating hand below the presenting part. Uterus is closed in two layers. Abdomen was closed after proper haemostasis. After completion of L.S.C.S. during vaginal toileting it was noted that there was severe PPH although the uterus was hard and contracted. So speculum examination of vagina was performed to rule out the traumatic cause of PPH. It was found that there was varix in the vagina and it was injured at the level of left lateral fornix and profusely bleeds. Haemostatic suture was given by chromic catgut, vaginal packing was done. The pack was removed after 24 hours. Post operative period was uneventful. Patient was discharged on 7 th post-operative day after removing the abdominal stitch. At 6 weeks postpartum evaluation the speculum examination of vagina showed the disappearance of vaginal varix.