Abramowicz S, Kouteich K, Grémain J, Sabourin J-C, Marpeau L, Sergent F
Clinique gynécologique et obstétricale, CHU de Rouen et université de Rouen, 1, rue de Germont, 76031 Rouen, France; Service de gynécologie-obstétrique, centre hospitalier de Dieppe, avenue Pasteur, 76200 Dieppe, France.
Service d'anatomopathologie, centre hospitalier de Dieppe, avenue Pasteur, 76200 Dieppe, France.
Gynecol Obstet Fertil. 2014 Mar;42(3):182-4. doi: 10.1016/j.gyobfe.2011.04.003. Epub 2012 Jul 4.
Ectopic decidual reaction of the peritoneum and the omentum is rare. It is usually an incidental finding during caesarean section and it could mimick macroscopically peritoneal carcinomatosis or tuberculosis. Histology is very important to make diagnosis. Ectopic decidual reaction is physiological, with an excellent prognosis and spontaneous resolution. We report one case of ectopic peritoneal and omental deciduosis of the peritoneum and discovered incidently during caesarian section. Definitive diagnosis was done by immunohistological examination. A laparoscopy four months later showed complete and spontaneous regression of all lesions.
腹膜和大网膜的异位蜕膜反应罕见。它通常是剖宫产术中的偶然发现，宏观上可能酷似腹膜癌病或结核病。组织学检查对诊断非常重要。异位蜕膜反应是生理性的，预后良好且可自发消退。我们报告一例腹膜和大网膜的异位蜕膜病，在剖宫产术中偶然发现。通过免疫组织学检查做出明确诊断。四个月后的腹腔镜检查显示所有病变完全自发消退。
