Decidual cast: A case report


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Ekmekci S., ÖZER E.

IZMIR DR BEHCET UZ COCUK HASTANESI DERGISI, vol.6, no.3, pp.234-236, 2016 (ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 6 Issue: 3
  • Publication Date: 2016
  • Doi Number: 10.5222/buchd.2016.234
  • Journal Name: IZMIR DR BEHCET UZ COCUK HASTANESI DERGISI
  • Journal Indexes: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Page Numbers: pp.234-236
  • Keywords: decidual cast, intrauterin mass, adolescent tumors, MEMBRANOUS DYSMENORRHEA, GIRL
  • Dokuz Eylül University Affiliated: Yes

Abstract

The decidual cast is endometrial tissue that spontaneously falls out from the vagina while endometrial cavity retains its original shape. Up to now 20 cases have been cited in the literature There were about 20 cases in the current literature in pediatric age group. Herein, we report a 13 year old girl presented with abdominal pain and vaginal bleeding, but normal physical examination and laboratory findings. Histeroscopy revealed a 4 cm sized nodular mass on the anterior uterine wall. Histopathological evaluation revealed atrophic endometrial glands within dense suppuration, necrosis and stromal decidualisation. The final pathologic diagnosis was decidual cast. The decidual cast must be kept in mind in the differential diagnosis of intrauterine masses seen in children.