Carcinoma Cervix in Pregnancy Presenting as Antepartum Haemorrhage: A Case Report

Abstract

Cervical Cancer is the most common genital malignancy associated with pregnancy. It usually presents in the 1st trimester and at an early stage. Presentation can be variable ranging from pain abdomen to bleeding per vaginum. Management protocols are based on the gestational age at presentation and stage of the disease. A 28 year old, P 2+0,3rd Gravida at 30 weeks of gestation presented with bleeding per vaginum and pain lower abdomens for 4 weeks. She was diagnosed as a case of stage IIB cervical carcinoma. After counseling the patient regarding prognosis, she was planned for caesarean section and given two doses of Inj. Betamethasone (12mg).A classical section was performed and she delivered a live girl weighing 1.5kg who was sent to the sick newborn care unit (SNCU) after initial resuscitation. She developed bilateral inguinal lymphadenopathy and unilateral oedema of thigh and foot on the 10th post-operative day. Magnetic Resonance Imaging was done and suggested deep vein thrombosis. Attending physician advised anticoagulant therapy and heparin injection was started immediately. Her newborn was released from the SNCU 20 days after delivery and breastfed well. She was discharged the next day and advised to attend the radiotherapy outpatient department .She was advised radiotherapy after involution of uterus.