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j.ejogrb.2012.11.024.pdf | 1.67 MB | Adobe PDF | 見る/開く |
タイトル: | Vaginal delivery in the presence of huge vulvar varicosities: a case report with MRI evaluation. |
著者: | Furuta, Nozomi Kondoh, Eiji https://orcid.org/0000-0002-8379-3143 (unconfirmed) Yamada, Shigehito https://orcid.org/0000-0002-8194-6927 (unconfirmed) Kawasaki, Kaoru Ueda, Akihiko https://orcid.org/0000-0001-8139-9292 (unconfirmed) Mogami, Haruta https://orcid.org/0000-0002-9481-6320 (unconfirmed) Konishi, Ikuo |
著者名の別形: | 近藤, 英治 |
キーワード: | Mode of delivery MRI Pregnancy Vulvar varicosity |
発行日: | Apr-2013 |
出版者: | Elsevier Ireland Ltd. |
誌名: | European Journal of Obstetrics & Gynecology and Reproductive Biology |
巻: | 167 |
号: | 2 |
開始ページ: | 127 |
終了ページ: | 131 |
抄録: | Vulvar varicosities are generally not an indication for a caesarean section but in a rare case of severe vulvar varicosities, it would be a controversial issue whether to perform a caesarean section for fear they might rupture during a vaginal delivery. We present a case of huge vulvar varicosities during pregnancy. MRI revealed obstruction of the internal iliac system by the gravid uterus and subsequent incompetence of a collateral pathway via the round ligament vein that emptied into the ovarian vein. The patient went into labour at 38 weeks, and successfully vaginally delivered a baby. The vulvar varicose veins became compressed by the foetal head from the inside, and markedly diminished in size during crowning and after delivery. Women with vulvar varicosities can be allowed to attempt a vaginal birth regardless of their severity. The use of MRI aids in the overall anatomical understanding of vulvar varicosities in pregnancy. |
著作権等: | © 2012 Elsevier Ireland Ltd. この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。 This is not the published version. Please cite only the published version. |
URI: | http://hdl.handle.net/2433/173408 |
DOI(出版社版): | 10.1016/j.ejogrb.2012.11.024 |
PubMed ID: | 23287636 |
出現コレクション: | 学術雑誌掲載論文等 |
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