IMR Press / CEOG / Volume 44 / Issue 4 / DOI: 10.12891/ceog3910.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Intramural uterine hemangioma: an insidious trap of a rare pathology. A case report
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1 “Arbor Vitae” Centre, Clinica Nuova Villa Claudia, Rome, Italy
2 Department of Obstetrics and Gynecology, University of Perugia, S.M. della Misericordia Hospital, Perugia, Italy
3 Department of Molecular Medicine, Sapienza University, Rome, Italy
Clin. Exp. Obstet. Gynecol. 2017, 44(4), 624–626; https://doi.org/10.12891/ceog3910.2017
Published: 10 August 2017
Abstract
Cavernous uterine hemangioma (UH) is an extremely rare benign pathology. The heterogeneity of symptoms and the rarity of such pathology render the diagnosis of UH quite difficult and it often relies on the final histologic examination. A case of a UH, previously diagnosed by ultrasound as a pelvic varicocele involving the uterine fundus, then revealed during a hysteroscopic endometrial resection, is described. The massive bleeding during the procedure caused a life-threatening which required an emergency abdominal hysterectomy. In case of an ultrasonographic diagnosis of atypical pelvic varicocele, more rigorous examinations should be planned before proceeding with an invasive uterine procedure. To the best of the authors’ knowledge, this is the first report describing a UH discovered during an operative hysteroscopy, which could have dramatic consequences for the patient.
Keywords
Hysteroscopy
Uterine hemangioma
Endometrial resection
Hemorrhage
Ultrasound
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