Diffuse Ectopic Deciduosis Imitating Peritoneal Carcinomatosis with Acute Abdomen Presentation: A Case Report and Literature Review
| Autor: | Aleksandr Zhukov, Vadim Gushchin, Aleksandr Panin, Pavel Sorokin, Mark Kurtser, Andrei Nikiforchin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Pregnancy 030219 obstetrics & reproductive medicine business.industry General surgery Uterus Obstetrics and Gynecology Case Report Gynecology and obstetrics medicine.disease Endometrium Peritoneal carcinomatosis Natural history 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Acute abdomen 030220 oncology & carcinogenesis medicine RG1-991 Acute peritonitis medicine.symptom Presentation (obstetrics) business |
| Zdroj: | Case Reports in Obstetrics and Gynecology, Vol 2020 (2020) Case Reports in Obstetrics and Gynecology |
| ISSN: | 2090-6692 2090-6684 |
| Popis: | During pregnancy, decidual tissue can occur beyond the endometrium, predominantly on the surface of the uterus, fallopian tubes, and ovaries. This condition, called ectopic deciduosis, generally is not accompanied by any symptoms and complications, does not require treatment, and resolves completely soon after labor. However, rarely it can present with acute abdomen syndrome or imitate peritoneal malignancy and, thus, cause diagnostic difficulties and unnecessary interventions. Here, we report a challenging case of a pregnant woman admitted with acute peritonitis caused by ectopic deciduosis that mimicked peritoneal carcinomatosis. This uncommon manifestation of deciduosis hindered correct diagnosis and led to excessive surgery. While the management of the patient presented is regrettable, the case highlights the natural history of deciduosis, and therefore, important lessons could be learned from it. |
| Databáze: | OpenAIRE |
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