ABSTRACT
Peritoneal deciduosis is a rare incidental finding on caesarean section.This is a self- limited metaplastic change of submesothelial mesenchymal cells during pregnancy. We report a case of diffuse peritoneal ectopic decidual reaction discovered during caesarean section as pale whitish nodules simulating tubercles. Histology showed omentum studded with nodular groups of decidual cells with transition to spindle cells resembling myofibroblasts.
ABSTRACT
Introducción: la deciduosis representa el cuadro colposcópico más peculiar del embarazo. El término indica una ectopia decidual Objetivo: presentar el caso clínico de una gestante con una lesión cervical que resultó una deciduosis tipo ulcerada. Resultados: mediante la colposcopia y posteriormente una biopsia por ponchamiento se confirmó el diagnóstico de deciduosis tipo ulcerada en gestante de 22,5 sem. Conclusiones: ante toda gestante con una lesión cervical sospechosa o no de malignidad, se puede utilizar la colposcopia como método diagnóstico, realizada por un personal entrenado y biopsia dirigida según el caso en particular
Introduction: The deciduosis is the more typical colposcopy picture of pregnancy. This term indicates a decidual ectopia. Objective: To present the clinical case of a pregnant presenting with a cervical lesion led to an ulcerated deciduosis. Results: By means of a colposcopy and later by a punch biopsy the diagnosis of ulcerated deciduosis was confirmed in a pregnant of 22.5 weeks. Conclusions: In front of that each pregnant with a cervical lesion suspected or not of malignancy, the colposcopy could be used as a diagnostic method provided that is performed by trained staff and a biopsy directed according to the case in particular
Subject(s)
Humans , Female , Pregnancy , Adolescent , Colposcopy/methods , Cervix Uteri/pathology , Uterine Cervical Diseases/pathology , Biopsy/methodsABSTRACT
Gross deciduosis in pregnancy is rare. A case of disseminated deciduosis peritonei studied by light and transmission electron microscopy is reported. The pathogenesis of deciduosis peritonei and relationship with leiomyomatosis peritonealis disseminata are discussed in view of the present findings and those previously reported.