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Clinical and Experimental Obstetrics & Gynecology  2017, Vol. 44 Issue (4): 624-626    DOI: 10.12891/ceog3910.2017
Case Report Previous articles | Next articles
Intramural uterine hemangioma: an insidious trap of a rare pathology. A case report
I. Mazzon1, A. Favilli2, M. Grasso1, V. Moretti3, G. Soda3, S. Gerli2, *()
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
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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.
Key words:  Hysteroscopy      Uterine hemangioma      Endometrial resection      Hemorrhage      Ultrasound     
Published:  10 August 2017     
*Corresponding Author(s):  S. GERLI     E-mail:  sandro.gerli@unipg.it

Cite this article: 

I. Mazzon, A. Favilli, M. Grasso, V. Moretti, G. Soda, S. Gerli. Intramural uterine hemangioma: an insidious trap of a rare pathology. A case report. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(4): 624-626.

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https://ceog.imrpress.com/EN/10.12891/ceog3910.2017     OR     https://ceog.imrpress.com/EN/Y2017/V44/I4/624

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