Extensive Lower Uterine Segment Varices: An Incidental Finding during an Emergency Cesarean Section Indicated for Severe Vulval Varicosities, Prompting a Classical Uterine Incision

Severe vulvovaginal varicosities in pregnancy, although rare, can be associated with subserosal lower uterine segment varices. Vaginal delivery is not a contraindication; the decision on the route of delivery is on a case-by-case basis. We present a case of a 30-year-old, G4P2112 female who was booked for an emergency cesarean section for severe symptomatic vulvovaginal varicosities at an early term gestation. A classical cesarean section was done due to diffuse lower uterine segment varicosities with a favorable maternofetal outcome. This case portrays an alternative mode of delivery in the management of vulvovaginal varicosities in a resource-poor setting with limited means of properly investigating the presence, extent, and severity of vulval varicosities, which is key in avoiding the sinister outcome of venous rupture leading to life-threatening maternal hemorrhage during delivery.