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Our patient experienced variceal hemorrhage at 12 weeks' gestation in a dichorionic twin pregnancy conceived through in vitro fertilization. A low\u2010lying placenta resolved at 19 weeks followed by variceal regression at 22 weeks' gestation. Endocervical varices causing first\u2010trimester hemorrhage may regress with resolution of a coexisting low placental implantation, permitting planned vaginal delivery, despite progressive hemodynamic changes of pregnancy. \u00a9 2017 Wiley Periodicals, Inc. <jats:italic>J Clin Ultrasound<\/jats:italic> <jats:bold>46<\/jats:bold>:218\u2013221, 2018<\/jats:p>","DOI":"10.1002\/jcu.22504","type":"journal-article","created":{"date-parts":[[2017,5,29]],"date-time":"2017-05-29T05:06:41Z","timestamp":1496034401000},"page":"218-221","source":"Crossref","is-referenced-by-count":6,"title":["Cervical varices: An unusual source of first\u2010trimester hemorrhage"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4575-2308","authenticated-orcid":false,"given":"Joseph R.","family":"Wax","sequence":"first","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology Maine Medical Center, Maine Medical Partners Women's Health 887 Congress Street, Suite 200, Portland ME 04102"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelina","family":"Cartin","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology Maine Medical Center, Maine Medical Partners Women's Health 887 Congress Street, Suite 200, Portland ME 04102"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Litton","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology Maine Medical Center, Maine Medical Partners Women's Health 887 Congress Street, Suite 200, Portland ME 04102"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelley","family":"Conroy","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology Maine Medical Center, Maine Medical Partners Women's Health 887 Congress Street, Suite 200, Portland ME 04102"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael G.","family":"Pinette","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology Maine Medical Center, Maine Medical Partners Women's Health 887 Congress Street, Suite 200, Portland ME 04102"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,29]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12127"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2004.00202.x"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000435449.01356.99"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2011.01548.x"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.8946"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2006.25.4.545"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2007.00553.x"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(85)90697-0"},{"key":"e_1_2_4_10_1","first-page":"138","article-title":"Cervical AV malformation with in utero DES exposure","volume":"78","author":"Fleming AD","year":"1993","journal-title":"Nebr Med J"},{"key":"e_1_2_4_11_1","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1002\/(SICI)1097-0096(199807\/08)26:6<317::AID-JCU7>3.0.CO;2-L","article-title":"Cervical varices: an unusual etiology for third\u2010trimester bleeding","volume":"26","author":"Hurton T","year":"1996","journal-title":"J Clin Ultrasound"},{"key":"e_1_2_4_12_1","first-page":"187","article-title":"Committee Opinion No. 677. 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