Diffuse Ectopic Deciduosis Imitating Peritoneal Carcinomatosis with Acute Abdomen Presentation: A Case Report and Literature Review.


Journal

Case reports in obstetrics and gynecology
ISSN: 2090-6684
Titre abrégé: Case Rep Obstet Gynecol
Pays: United States
ID NLM: 101576454

Informations de publication

Date de publication:
2020
Historique:
received: 31 08 2020
accepted: 18 09 2020
entrez: 16 10 2020
pubmed: 17 10 2020
medline: 17 10 2020
Statut: epublish

Résumé

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.

Identifiants

pubmed: 33062356
doi: 10.1155/2020/8847082
pmc: PMC7533791
doi:

Types de publication

Case Reports

Langues

eng

Pagination

8847082

Informations de copyright

Copyright © 2020 Pavel Sorokin et al.

Déclaration de conflit d'intérêts

The authors declare that they have no conflict of interest regarding this publication.

Références

Histopathology. 1986 Oct;10(10):1089-92
pubmed: 3536713
Obstet Gynecol. 2006 Sep;108(3 Pt 2):776-9
pubmed: 17018499
Br J Obstet Gynaecol. 1985 Jan;92(1):102-3
pubmed: 3155621
Ultrasound Q. 2015 Jun;31(2):85-91
pubmed: 25364964
J Reprod Med. 1983 Jun;28(6):430-2
pubmed: 6887151
BMJ Case Rep. 2014 Feb 13;2014:
pubmed: 24526201
Turk Patoloji Derg. 2012;28(1):56-60
pubmed: 22207433
Int J Gynecol Pathol. 2002 Jul;21(3):273-5
pubmed: 12068174
Emerg Med J. 2007 May;24(5):359-60
pubmed: 17452707
Eur J Gynaecol Oncol. 2005;26(4):459-61
pubmed: 16122205
Surg Endosc. 2016 Feb;30(2):593-602
pubmed: 26091987
Pathol Res Pract. 1993 Apr;189(3):352-9
pubmed: 8332577
Am J Surg Pathol. 1987 Jul;11(7):526-30
pubmed: 3605488
Tidsskr Nor Laegeforen. 2007 Oct 4;127(19):2528-9
pubmed: 17948611
Int J Womens Health. 2019 Feb 08;11:119-134
pubmed: 30804686
Iran J Reprod Med. 2012 May;10(3):275-8
pubmed: 25243005
Eur J Obstet Gynecol Reprod Biol. 2016 Feb;197:54-8
pubmed: 26717495
CA Cancer J Clin. 2018 Jul;68(4):284-296
pubmed: 29809280
Int J Clin Exp Pathol. 2013 Oct 15;6(11):2615-9
pubmed: 24228129
Eur J Obstet Gynecol Reprod Biol. 2010 Mar;149(1):18-21
pubmed: 20042265
J Pathol Bacteriol. 1947 Oct;59(4):686
pubmed: 18907579
Geburtshilfe Frauenheilkd. 1991 Apr;51(4):307-9
pubmed: 1860662
Am J Surg. 1990 Dec;160(6):571-5; discussion 575-6
pubmed: 2252115
Hum Pathol. 1998 Dec;29(12):1495-503
pubmed: 9865838
BJOG. 2009 Mar;116(4):480-91
pubmed: 19250360
J Am Acad Dermatol. 2000 Jul;43(1 Pt 1):102-7
pubmed: 10863233
Cancer. 1996 Jun 15;77(12):2622-9
pubmed: 8640714
Emerg Radiol. 2012 Dec;19(6):519-25
pubmed: 22886287

Auteurs

Pavel Sorokin (P)

Department of Surgical Oncology, Lapino Clinical Hospital, 111 1st Uspenskoe Shosse, Lapino, Moscow Region, 143081, Russia.

Andrei Nikiforchin (A)

Department of Surgical Oncology, The Institute for Cancer Care, Mercy Medical Center, 227 Saint Paul Place, Weinberg Building, 4th Floor, Baltimore, Maryland, USA 21202.

Aleksandr Panin (A)

Department of General Surgery, Lapino Clinical Hospital, 111 1st Uspenskoe Shosse, Lapino, Moscow Region, 143081, Russia.

Aleksandr Zhukov (A)

Department of Pathology, Lapino Clinical Hospital, 111 1st Uspenskoe Shosse, Lapino, Moscow Region, 143081, Russia.

Vadim Gushchin (V)

Department of Surgical Oncology, The Institute for Cancer Care, Mercy Medical Center, 227 Saint Paul Place, Weinberg Building, 4th Floor, Baltimore, Maryland, USA 21202.

Mark Kurtser (M)

Department of Obstetrics and Gynecology, Lapino Clinical Hospital, 111 1st Uspenskoe Shosse, Lapino, Moscow Region, 143081, Russia.

Classifications MeSH