History of present illness A 45-year-old gravida 6, para 6 woman presents to the emergency department with a complaint of 2 days of heavy vaginal bleeding and passing clots. She is light-headed and short of breath. Previously she had regular but heavy periods. A few days prior to this bleeding episode she noted increasing pelvic pressure and a malodorous vaginal discharge. Her past medical hist...

We report a 31-year-old woman with end-stage cervical carcinoma who suffers both lower intestinal and vaginal bleeding. A selective internal iliac arteriogram demonstrated pseudoaneurysm formation in the vaginal branch of the left internal iliac artery. There was also a fistula between the pseudoaneurysm and the lower intestinal segments. Selective transcatheter coil embolization was performed,...

Dysfunctional uterine bleeding (DUB) is a common presentation in the emergency department and has a wide differential. Most presentations of DUB are in hemodynamically stable patients and can be evaluated as an outpatient. Uterine arteriovenous malformation (AVM) is one presentation that can result in a life-threatening medical emergency with unexpected sudden and massive vaginal bleeding. We d...

Vaginal metastasis from pancreatic cancer is an extreme case and often indicates a poor prognosis. We present a case of pancreatic carcinoma with metastasis to the vagina that was discovered by vaginal bleeding. To our knowledge, this is the third case in the world of a primary pancreatic adenocarcinoma discovered of symptoms from a vaginal metastasis.

Background. A known complication of supracervical hysterectomy is cyclical bleeding from the retained cervix when functioning endometrial tissue is not totally removed. We present a rare case of delayed postoperative vaginal hemorrhage after supracervical hysterectomy. Case. A 44-year-old woman presented on postoperative day 15 after laparoscopic supracervical hysterectomy with massive vaginal ...

Significant vaginal bleeding in the second half of pregnancy is uncommon and complicates fewer than 5% of pregnancies. Small amounts of bleeding or spotting, especially if admixed with cervical mucous, may represent “bloody show” and may herald the onset of labor, either term or preterm. Vaginal spotting from a friable cervix may reflect recent intercourse or digital examination. In very unusua...

OBJECTIVE Idiopathic vaginal bleeding, a common complication of pregnancy, increases the risk of small-for-gestational age (SGA) neonate, preeclampsia and preterm delivery and can be the only clinical manifestation of intra-amniotic infection and/or inflammation (IAI). Placenta previa is thought to be protective against ascending intrauterine infection, yet an excess of histologic chorioamnioni...

Vaginal bleeding is the most common cause of presentation to the emergency department in the first trimester. Approximately half of patients with first trimester vaginal bleeding will lose the pregnancy. Clinical assessment is difficult, and sonography is necessary to determine if a normal fetus is present and alive and to exclude other causes of bleeding (eg, ectopic or molar pregnancy). Diagn...

chorionic villus sampling (cvs) is a new method and its true risk of fetal loss and complications is not still clearly determined. the objective of this study was to review the clinical pregnancy outcome of transabdominal cvs (ta-cvs) performed on women with minor beta thalassemia. ta-cvs performed on 300 women with a singleton pregnancy and we could follow 213 women until delivery. data regard...