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Báo cáo y học: " A rare case of abnormal uterine bleeding caused by cavernous hemangioma: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A rare case of abnormal uterine bleeding caused by cavernous hemangioma: a case report | Benjamin et al. Journal of Medical Case Reports 2010 4 136 http www.jmedicalcasereports.eom content 4 1 136 jA JOURNALOF.MEDICAL CASE REPORTS CASE REPORT Open Access A rare case of abnormal uterine bleeding caused by cavernous hemangioma a case report Mridula A Benjamin 1 Hjh Roselina Yaakub1 PUTelesinghe2 and Gazala Kafeel2 Abstract Introduction Cavernous hemangiomas of the uterus are extremely rare benign lesions. A survey of the current literature identified fewer than 50 cases of hemangioma of the uterus. Case presentation We report a case of cavernous hemangioma of the uterus in a 27-year-old Malay para 1 woman who presented at our hospital with torrential vaginal bleeding having been transferred by land ambulance from a district hospital 30 minutes away. 11 weeks previously she had an urgent cesarean section at our hospital. She had to undergo a hysterectomy to control her bleeding after other measures were unsuccessful. A histopathological report confirmed a diffuse ramifying hemangioma of the cervix and uterus with left hematosalpinx. Conclusion Most ramifying hemangioma lesions are asymptomatic and are found incidentally but sometimes they may cause abnormal vaginal bleeding and hence should be included in the differential diagnosis of patients with vaginal bleeding. Hysterectomy is the primary mode of treatment in most symptomatic cases. Introduction Cavernous hemangiomas of the uterus are extremely rare benign lesions. A survey of the literature identified fewer than 50 cases of hemangioma of the uterus. Although they can be found at all levels of the uterine wall including the serosa myometrium and endometrium most cases usually involve the myometrium diffusely. These lesions are associated with numerous obstetric and gynecological complications ranging from intermenstrual spotting menometrorrhagia and infertility to maternal and fetal demise from pronounced bleeding of the gravid uterus 1-4 . We present a case of a para 1 woman with a ramifying .