Aka Kacou Edele, Apollinaire Horo Gninlgninrin, Fomba Minata, Kouyate Salif, Koffi Abdoul Koffi, Konan Seni, Fanny Mohamed, Effi Benjamin, Kone Mamourou
Department of Obstetrics and Gynecology, University Hospital of Yopougon, Abidjan, Ivory Coast.
Department of Pathological Anatomy, University Hospital of Treichville, Abidjan, Ivory Coast.
Pan Afr Med J. 2017 Oct 10;28:130. doi: 10.11604/pamj.2017.28.130.10084. eCollection 2017.
The cavernous hemangioma is a rare benign vascular tumor. About 50 cases of this disease were found in the literature over the last century and only 9 cases of cavernous hemangioma on the pregnant uterus were published it comes into cavernous or capillary form. The symptomatology is not unequivocal and when it occurs during pregnancy or postpartum, it causes life-threatening cataclysmic hemorrhage. Antenatal diagnosis is difficult and requires a multidisciplinary approach with pathologists, radiologists and gynecologists to avoid these complications or unnecessary hysterectomies. The diagnosis is histological. Hysterectomy is possible after failure of conservative treatment means. We report a rare case, a novel mixed cavernous hemangioma of the body associated with a capillary hemangioma of the cervix in a patient of 28 years 5th visors with recurrent genital bleeding in the postpartum period leading to a hysterectomy.
海绵状血管瘤是一种罕见的良性血管肿瘤。在上个世纪的文献中发现了约50例这种疾病，而关于妊娠子宫海绵状血管瘤的报道仅有9例，它有海绵状或毛细血管状两种形态。其症状并不明确，在妊娠期间或产后发生时，会导致危及生命的灾难性出血。产前诊断困难，需要病理学家、放射科医生和妇科医生采取多学科方法，以避免这些并发症或不必要的子宫切除术。诊断依靠组织学检查。保守治疗手段失败后可行子宫切除术。我们报告一例罕见病例，一名28岁患者，第5次妊娠，产后反复出现生殖器出血，最终行子宫切除术，其体内存在一种罕见的混合型海绵状血管瘤，并伴有宫颈毛细血管状血管瘤。
