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Diffuse cavernous hemangioma of the uterus in a pregnant woman: report of a rare case and review of literature

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Abstract

Introduction

Diffuse cavernous hemangioma of the uterus in pregnant woman is an extremely rare condition. A total of eight cases have been described in the literature till date. The antenatal diagnosis as well as management requires considerable skill. Although it is a benign condition but it can have serious consequences for the mother as well as the baby.

Methods and Materials

Here we describe an interesting case of diffuse cavernous hemangioma of the uterus in a 21-year-old G3, P2-0-0 pregnant woman, who underwent hysterectomy for uncontrollable bleeding during third cesarean section. The diagnosis of diffuse cavernous hemangioma was made only on histopathological examination of the hysterectomy specimen.

Conclusion

Diffuse hemangioma of the uterus in a pregnant woman is a serious condition, which may not be detected early during the pregnancy. This can result in uncontrolled bleeding especially during operative delivery and may require hysterectomy.

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References

  1. Johnson C, Reid-Nicholson M, Deligdisch L, Grinblat S, Natarajan S (2005) Capillary hemangioma of the endometrium: a case report and review of the literature. Arch Pathol Lab Med 129(10):1326–1329

    PubMed  Google Scholar 

  2. Shanberge JN (1994) Hemangioma of the uterus associated with hereditary hemorrhagic telangiectasia. Obstet Gynecol 84:708–710

    PubMed  CAS  Google Scholar 

  3. Majmudar B, Ghanee N, Horowitz IR, Graham D (1998) Uterine arteriovenous malformation necessitating hysterectomy with bilateral salpingo-oophorectomy in a young pregnant patient. Arch Pathol Lab Med 122(9):842–845

    PubMed  CAS  Google Scholar 

  4. Malhotra S, Sehgal A, Nijhawan R (1995) Cavernous hemangioma of the uterus. Int J Gynaecol Obstet 51(2):159–160. doi:10.1016/0020-7292(95)02473-P

    Article  PubMed  CAS  Google Scholar 

  5. Reiffenstuhl G (1984) Diffuse cavernous myometric angiomatosis of the pregnant uterus and its clinical significance. Geburtshilfe Frauenheilkd 44(9):579–582

    Article  PubMed  CAS  Google Scholar 

  6. Comstock CH, Monticello ML, Johnson TW, Wechter D (2005) Cavernous hemangioma: diffuse enlarged venous spaces within the myometrium in pregnancy. Obstet Gynecol 106:1212–1214

    PubMed  Google Scholar 

  7. Weissman A, Talmon R, Jakobi P (1993) Cavernous hemangioma of the uterus in a pregnant woman. Obstet Gynecol 81:825–827

    PubMed  CAS  Google Scholar 

  8. Sutterlin MW, Muller T, Rehn M, Rempen A, Dietl J (1998) Successful abdominal delivery in a woman with sonographic diagnosis of diffuse cavernous hemangioma of the uterus. Am J Perinatol 15:423–425

    Article  PubMed  CAS  Google Scholar 

  9. Thanner F, Suetterlin M, Kenn W, Dinkel HP, Gassel AM, Dietl J et al (2001) Pregnancy-associated diffuse cavernous hemangioma of the uterus. Acta Obstet Gynecol Scand 80(12):1150–1151. doi:10.1034/j.1600-0412.2001.801217.x

    Article  PubMed  CAS  Google Scholar 

  10. Sharma JB, Chanana C, Gupta SD, Kumar S, Roy K, Malhotra N (2006) Cavernous hemangiomatous polyp: an unusual case of perimenopausal bleeding. Arch Gynecol Obstet 274(4):206–208. doi:10.1007/s00404-006-0161-z

    Article  PubMed  CAS  Google Scholar 

  11. Lotgering FK, Pijpers L, van Eijck J, Wallenburg HC (1989) Pregnancy in a patient with diffuse cavernous hemangioma of the uterus. Am J Obstet Gynecol 160(3):628–630

    PubMed  CAS  Google Scholar 

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Correspondence to Di Lu.

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Virk, R.K., Zhong, J. & Lu, D. Diffuse cavernous hemangioma of the uterus in a pregnant woman: report of a rare case and review of literature. Arch Gynecol Obstet 279, 603–605 (2009). https://doi.org/10.1007/s00404-008-0764-7

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  • DOI: https://doi.org/10.1007/s00404-008-0764-7

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