Clinically expulsion of a decidual cast can mimic a miscarriage. Other factors released include interleukin and vascular endothelial growth factor VEGF. On histopathology it was diagnosed as dysmenorrhoea membranacea. Diagrammatic sections of the uterine mucous membrane: Pingili R, Jackson W. The decidua is the modified mucosal lining of the uterus known as the endometrium that forms in preparation for pregnancy. Blastocoel Heuser’s membrane Vitelline duct Gestational sac. She was scanned later which revealed normal uterus and ovaries.
Within the decidua, occasional fibrinoid deposits form where the syncytiotrophoblast is damaged. Here we present a case of dysmenorrhoea membranacea in 53 year old female patient who was on hormonal therapy for her irregular menstrual history, presented with the history of menorrhagia and passage of clots since one month.. The double sac sign in early intrauterine pregnancy: This article needs additional citations for verification. Decidual casts and membranous dysmenorrhoea although rare should be considered in non-pregnant women on HCG, HMG, progestogens or even combined oral contraceptive pills presenting with severe cramping abdominal pain and bleeding with passage of tissue. The appearance of the normal lining of the uterus, by the effect of progesterone, can become decidualized. Pingili R, Jackson W.
She was scanned later which revealed normal uterus and ovaries.
Histopatho,ogy cast have also been reported in non-pregnant women as a side effect with the use of human menopausal gonadotrophin HMGhuman chorionic gonadotrophin HCG and progestogens.
Accessed February 24th, How to cite this URL: Its leukocyte population is distinct, with the presence of large endometrial granular leukocytes being predominant, while polynuclear leukocytes and B cell s are scant.
Passage of decidual cast following poor compliance with oral contraceptive pill.
Please help improve this article by adding citations to reliable sources. Related articles Dysmenorrhea membranacea endometrial hyperplasia menorrhagia. Decidual casts have a well-known association with ectopic pregnancies.
Clinically expulsion of a decidual cast can mimic a miscarriage. A healthy Menstrual Cycle.
Other factors released include interleukin and vascular endothelial growth factor VEGF. At ultrasonography an ectopic pregnancy with a decidual cast is often mistaken for deciduao intrauterine pregnancy 2. Among its products are hormones commonly associated with other organs such as cortisolCRFGnRHprolactinand relaxin.
Pathology Outlines – Dysfunctional uterine bleeding (DUB)
Click here for patient related inquiries. It is an uncommon diagnosis, predominantly occurring in second and third decade of life. It has receptors for estrogenprogesteronegrowth hormoneand others. She was prescribed Microgynon 30 micrograms combined oral contraceptive pill, standard dosage to take back to back for heavy painful periods.
We report an interesting case of Decidual cast and membranous dysmenorrhoea following the use of combined oral contraceptive pills. Endometrial cells become highly characteristic. As the maternal interface to the embryo the decidua participates in the exchanges of nutrition, gas, and waste with the gestation.
Sectional plan of the eecidual uterus in the third and fourth month. Pages with DOIs inactive since Articles needing additional references from June All articles needing additional references Wikipedia articles with TE identifiers.
We report an interesting case of passage of decidual deciual tissue. How to cite this article: R Pingili, W Jackson. The decidua forms the maternal part of the placenta and remains for the duration of the pregnancy.
In animals exhibiting hemochorial placentationthe endometrium undergoes decidualization following implantation. Decidua parietalis ; the mucous membrane in the pregnant uterus and not beneath the placenta.
Pathology Outlines – Pregnancy related changes
After ovulationin placental mammalsthe endometrial lining becomes hypertrophic and vascular under the influence of the sex hormonesestrogen and progesterone. The large granular lymphocytes CD56 bright are called “uterine natural killer cells ” or “uNK cells” in mice, and “decidual NK cells” or “dNK cells” in humans. Here we present a case of dysmenorrhoea membranacea in 53 year old female patient who was on hormonal therapy for her irregular menstrual history, presented with the history of menorrhagia and passage of clots since one month.
This page was last edited on 24 Februaryat Author Information Radhika Pingili, M. We also reviewed the literature associated with this lesion.