Diffuse ectopic peritoneal deciduosis
- Autores: Misnik V.1, Oleneva M.1, Raksha A.2, Chernotalova N.3, Semenov Z.2, Ilyichev A.2, Lebedev I.1
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Afiliações:
- Moscow Multidisciplinary Clinical Centre "Kommunarka"
- Moscow N.I. Pirogov City Clinical Hospital No.1, Moscow Health Department
- City Clinical Oncological Hospital No. 1, Moscow Health Department
- Edição: Nº 4 (2023)
- Páginas: 184-190
- Seção: Clinical Notes
- URL: https://journals.rcsi.science/0300-9092/article/view/258569
- DOI: https://doi.org/10.18565/aig.2022.241
- ID: 258569
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Resumo
Relevance: Ectopic deciduosis rarely presents with definite symptoms and complications, and regresses soon after delivery. However, rare cases have been reported, in which the condition may present a different clinical picture. We present a clinical case of diffuse ectopic deciduosis in a 37-year-old patient who presented with an acute abdomen with peritonitis that simulated peritoneal carcinomatosis. During the long-term follow-up, she developed right-sided ureterohydronephrosis, which led to obstruction of urine outflow.
Case report: On the second day after delivery, the patient developed a clinical picture of an acute abdomen and underwent diagnostic laparoscopy, which revealed multiple miliary lesions in the parietal and visceral peritoneum. Histological examination of the laparoscopic biomaterial showed changes consistent with diffuse ectopic decidualization.
Conclusion: Ectopic deciduosis can be masked by various pathological conditions. Our case demonstrates the importance of using histological and immunohistochemical studies to make a diagnosis and guide appropriate patient management strategy.
Texto integral
##article.viewOnOriginalSite##Sobre autores
Viktoria Misnik
Moscow Multidisciplinary Clinical Centre "Kommunarka"
Autor responsável pela correspondência
Email: vikamisnik@yandex.ru
ORCID ID: 0000-0002-9352-7578
PhD, Head of Maternity Department
Rússia, MoscowMarina Oleneva
Moscow Multidisciplinary Clinical Centre "Kommunarka"
Email: vikamisnik@yandex.ru
PhD, Deputy Chief Physician for Obstetric and Gynecological Care
Rússia, MoscowAlexander Raksha
Moscow N.I. Pirogov City Clinical Hospital No.1, Moscow Health Department
Email: vikamisnik@yandex.ru
Dr. Med. Sci., Professor, Pathologist
Rússia, MoscowNatalia Chernotalova
City Clinical Oncological Hospital No. 1, Moscow Health Department
Email: vikamisnik@yandex.ru
ORCID ID: 0000-0003-2411-5083
Pathologist
Rússia, MoscowZhiraslan Semenov
Moscow N.I. Pirogov City Clinical Hospital No.1, Moscow Health Department
Email: vikamisnik@yandex.ru
PhD, Surgeon
Rússia, MoscowArtem Ilyichev
Moscow N.I. Pirogov City Clinical Hospital No.1, Moscow Health Department
Email: averi.ilich@yandex.ru
ORCID ID: 0000-0001-9116-9941
Resident Physician
Rússia, MoscowIgor Lebedev
Moscow Multidisciplinary Clinical Centre "Kommunarka"
Email: vikamisnik@yandex.ru
ORCID ID: 0000-0001-7956-3807
Dr. Med. Sci., Deputy chief physician for surgery
Rússia, MoscowBibliografia
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