宫颈妊娠罕见表现为产前出血。
Rare presentation of cervical deciduosis as antepartum haemorrhage.
机构信息
Department Of Obstetrics And Gynaecology, King George Medical University, Lucknow, Uttar Pradesh, India
Department Of Obstetrics And Gynaecology, King George Medical University, Lucknow, Uttar Pradesh, India.
出版信息
BMJ Case Rep. 2022 Mar 1;15(3):e245569. doi: 10.1136/bcr-2021-245569.
Cervical deciduosis refers to the condition in which ectopic decidual changes take place in the cervix. It is mostly asymptomatic but sometimes may have various clinical presentations. In our case, patient had a rare clinical presentation of cervical deciduosis, in the form of an antepartum haemorrhage at 32 weeks. On examination, there were multiple friable lesions measuring 5-15 mm in size on both the lips of the cervix and it was very much simulating to malignancy, so biopsy was done. However, biopsy led to uncontrolled bleeding and finally the patient required premature lower segment caesarean section. Both mother and baby were well. Biopsy report was diagnostic of cervical deciduosis. On follow-up at 6 weeks post partum, the cervix was found to be absolutely healthy. Since, cervical deciduosis is a benign condition which gets resolved 4-6 weeks post partum. So, keeping differential diagnosis of cervical deciduosis in mind is very important to avoid unnecessary cervical biopsies during pregnancy. And patient with suspicion of cervical deciduosis should be followed up postpartum strictly.
宫颈蜕膜病是指宫颈发生异位蜕膜改变的情况。它大多无症状，但有时可能有各种临床表现。在我们的病例中，患者表现为一种罕见的宫颈蜕膜病，即 32 周时出现产前出血。检查时，宫颈唇有多个易碎病变，大小为 5-15 毫米，非常类似于恶性肿瘤，因此进行了活检。然而，活检导致无法控制的出血，最终患者需要提前行下段剖宫产术。母亲和婴儿都很好。活检报告诊断为宫颈蜕膜病。产后 6 周随访时，宫颈完全健康。由于宫颈蜕膜病是一种良性疾病，会在产后 4-6 周内自行消退。因此，在怀孕期间，牢记宫颈蜕膜病的鉴别诊断非常重要，以避免不必要的宫颈活检。对于疑似宫颈蜕膜病的患者，应严格在产后进行随访。
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