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Rare presentation of cervical deciduosis as antepartum haemorrhage
  1. Manju Lata Verma1,
  2. Pushpa Lata Sankhwar1,
  3. Sumaira Qayoom2 and
  4. Renu Gaur1
  1. 1Department Of Obstetrics And Gynaecology, King George Medical University, Lucknow, Uttar Pradesh, India
  2. 2Department of Pathology, King George Medical College, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Manju Lata Verma; gaganmlv{at}gmail.com

Abstract

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.

  • pregnancy
  • reproductive medicine

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Footnotes

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  • Contributors MLV and RG has written manuscript. PLS has given expert advice in refining the manuscript. SQ has helped in data record and manuscript writing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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