Ectopic omental deciduosis associated with pregnancy

Akçay, Elif; Gormez, M; Arıcı, Akgül; Köseoğlu, Reşit Doğan

doi:10.5455/medscience.2020.10.205

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…However, there is no relationship between deciduosis and indications for cesarean section (Markou et al, 2016). Regression can be found after 4-6 weeks postpartum (Akcay et al, 2020;Kaneko et al, 2021) but can reappear in the subsequent pregnancy (Luna Aufroy et al, 2018). In addition to pregnancy, deciduosis has also been associated with progestin use (Malpica et al, 2020;Nucci, 2019).…”

Section: Discussionmentioning

confidence: 99%

Deciduosis of the appendix: a case report

Paskarani

Ekawati

Tanaka

et al. 2022

RSD

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Introduction: Ectopic deciduosis refers to decidual tissue outside the uterus. Ectopic decidua appears on the surface of the female reproductive organs and peritoneum; however, rare cases can be found in the appendix, lymph nodes, lungs, kidneys, and skin. Deciduosis is a benign condition that usually does not cause any symptoms and resolves spontaneously 4-6 weeks after delivery. However, an ectopic decidua involving the appendix wall often causes appendicitis and presents with acute abdominal signs. Methodology: The descriptive study of the case report type and the data obtained from the patient's medical record. Case presentation: This paper reports a woman aged 29 years with complaints of abdominal pain, like being stabbed in the pit of the stomach and then to the lower right abdomen for two days. A physical examination revealed tenderness in the lower abdomen with a positive McBurney sign. At that time, the patient was pregnant with a gestational age of 20-21 weeks. The patient underwent an appendectomy with the tissue sent to the anatomic pathology laboratory with the presence of decidual cells in the subserous layer and serous fat, and it was concluded as deciduosis of the appendix. Conclusion: Based on clinical and laboratory findings, the patient was diagnosed with deciduosis of the appendix.

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Section: Discussionmentioning

confidence: 99%

Deciduosis of the appendix: a case report

Paskarani

Ekawati

Tanaka

et al. 2022

RSD

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Ectopic decidual reaction – A diagnostic dilemma

Gupta

Barya

Gupta

et al. 2023

ACHR

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The occurrence of decidualization outside the endometrium, is called as ectopic decidual reaction. It can involve any abdominal organs, such as ovary, fallopian tube, cervix, uterine surface, omentum, etc. and present as grey white nodules. These nodules grossly mimic metastatic disease and granulomas, causing a diagnostic dilemma. Decidual reaction is a benign condition and can regress spontaneously in the postpartum period. Thus, it is important to accurately diagnose these lesions for optimal treatment. Histologic examination followed by immunohistochemistry can be performed on the biopsies sampled during cesarean sections, tubal ligation, appendectomy, etc. to obtain a correct diagnosis. Peritoneal location of ectopic decidua is less frequent and can be an incidental finding. Few patients may present with the symptoms of abdominal pain, hemorrhage or irritable bowel syndrome. We thereby, report a case of peritoneal ectopic decidual reaction and discuss its histopathological features, immunohistochemistry and the differential diagnosis.

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Ectopic omental deciduosis associated with pregnancy

Cited by 2 publications

References 5 publications

Deciduosis of the appendix: a case report

Deciduosis of the appendix: a case report

Ectopic decidual reaction – A diagnostic dilemma

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