Cavernous hemangioma of the cervix with intractable bleeding. A case report.
ABSTRACT Cavernous hemangioma of the cervix is rare and may cause serious bleeding.
A 33-year-old woman developed intractable cervical bleeding following pregnancy termination. Bleeding persisted despite curettage and suturing, and ultimately required hysterectomy. Cavernous hemangioma was confirmed histologically.
This condition is a potential cause of uncontrollable cervical bleeding.
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ABSTRACT: Hemangiomas are abnormal accumulation or growth of blood vessels in the internal organs or in the skin. Most hemangiomas occur at birth while others develop after birth. There are two types of hemangiomas the capillary hemangioma and the cavernous hemangioma. A capillary hemangioma is usually seen at the top layer, while the cavernous hemangioma is often found at the deeper layer. Some patients, however, may present with both types. The cavernous hemangioma, also known as cavernoma, occurs less commonly than the capillary hemangioma. It is a benign tumor of blood vessels that rapidly grows over a period of time and does not usually reduce in size. Most cavernous hemangiomas are usually soft to the touch. Hemangiomas are common vascular, childhood benign tumors with special predilection to head & neck region. Benign vascular tumors are fairly common with wide distribution through the body. They may be single or multiple. They may occur in combination, affecting a number of organs and producing well known syndromes but vascular tumors of the female genital tract are very rare. There are relatively few reports in the world literature of hemangiomas of uterine cervix. To-date fewer than 50 cases have been reported. Most of these lesions show asymptomatic behavior and are incidental findings, but sometimes, they may cause abnormal vaginal bleeding in the form of menometrorrhagia and post coital bleeding. Whenever these lesions are there the presenting clinical features mimic the malignancy. Such tumors of the female genitalia are generally found in one organ and are rarely associated with other organ. They should be included in the differential diagnosis of patients with vaginal bleeding.
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ABSTRACT: OBJECTIVE: Venous malformations of the uterine cervix are extremely rare. Most lesions are asymptomatic and incidental, but sometimes, they may present with abnormal and/or intractable vaginal bleeding. The study aimed to describe a case of venous malformation of the uterine cervix and discuss the clinical and histopathologic differential diagnosis of this entity. CASE: A 50-year-old woman attended to the gynecology clinic for postcoital spotting and postmenopausal bleeding. Gynecologic examination revealed polypoid, lobulated, bluish, vascular nodular lesions 4 to 1 cm in size surrounding the cervical introitus. The lesions were completely excised via loop electrosurgical excision procedure method. Pathologic diagnosis revealed venous malformations of the uterine cervix. CONCLUSIONS: Venous malformations of the uterine cervix should be considered in the differential diagnosis of patients with cervical mass and vaginal bleeding. Pathologic examination is necessary in such a case to exclude the possibility of malignant vascular tumor or cervical neoplasm.Journal of Lower Genital Tract Disease 04/2013; · 1.21 Impact Factor
- Journal of Obstetrics and Gynecology of India 08/2013; 63(4):288-90.