Cavernous hemangioma of the cervix with intractable bleeding: A case report

Department of Obstetrics and Gynecology, Wyckoff Heights Medical Center, Brooklyn, NY 11237, USA.
The Journal of reproductive medicine (Impact Factor: 0.7). 10/2003; 48(9):741-3.
Source: PubMed


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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    • "The likelihood of actual blood vessel growth or angiogenesis in preexisting vascular anomalies is a possibility [7]. A case was reported where a woman presented with intractable bleeding following termination of pregnancy and the bleeding continued despite curettage and suturing, ultimately resulting in hysterectomy [9]. Padmanabhan et al reported a case of a 34-year-old woman who presented with haemangioma of the cervix and focal "

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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: Purpose: Cavernous haemangiomas of the uterine cer-vix are very rare and usually harmless. It is a benign tumor that may cause gynecological obstetrical com-plications. Although it is a benign condition but it can have serious consequences for the mother as well as for the baby. The treatment is often surgical and dia-gnosis is histological. Methods and Result: we repor-ted a case of cavernous haemangioma of the cervix in a 25-year old multiparous patient, referred to our Centre in the 33 -34 gestational weeks for premature labor with membranes rupture. A 3 cm × 6 cm soft regular purplish red mass is found in the uterine cer-vix. Tocolosys, prophylactic antibiotic therapy and corticotherapy for fetus pulmonary maturation were then decided after elimination of chorioamniotite si-gns. Caesarean has been made during labor, a week later, for tumor previa. The tumor excision has been made through the vagina after fetus extraction. The histological examination confirmed diagnosis of the cavernous haemangioma. Discussion: Further to this observation, the clinical, histological and therapeutic characteristics of the cavernous haemangioma unu-sual presentation were drawn up and literature enri-ched since this pathology is rare. Most previous repor-ts in the literature consist of single-case histories, and the experience of individual institutions is limited. The patients dramatically present dilemmas in the disease management. This can result in uncontrolled bleeding especially during operative delivery and may require hysterectomy. To avoid unexpected bleeding from hae-mangioma, patients should be repeatedly examined for haemangioma of the birth canal, and special care shou-ld be taken in choosing the delivery mode.
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