Sorokin Pavel, Nikiforchin Andrei, Panin Aleksandr, Zhukov Aleksandr, Gushchin Vadim, Kurtser Mark
Department of Surgical Oncology, Lapino Clinical Hospital, 111 1st Uspenskoe Shosse, Lapino, Moscow Region, 143081, Russia.
Department of Surgical Oncology, The Institute for Cancer Care, Mercy Medical Center, 227 Saint Paul Place, Weinberg Building, 4th Floor, Baltimore, Maryland, USA 21202.
Case Rep Obstet Gynecol. 2020 Sep 25;2020:8847082. doi: 10.1155/2020/8847082. eCollection 2020.
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.
在怀孕期间，蜕膜组织可出现在子宫内膜以外的部位，主要位于子宫表面、输卵管和卵巢。这种情况称为异位蜕膜形成，通常不伴有任何症状和并发症，无需治疗，产后很快会完全消退。然而，它很少会表现为急腹症综合征或类似腹膜恶性肿瘤，从而导致诊断困难和不必要的干预。在此，我们报告一例具有挑战性的病例，一名孕妇因异位蜕膜形成导致的急性腹膜炎入院，该腹膜炎酷似腹膜癌病。这种蜕膜形成的罕见表现妨碍了正确诊断并导致了过度手术。虽然对该患者的处理令人遗憾，但该病例突出了蜕膜形成的自然病程，因此，可以从中吸取重要教训。
