Extrauterine Decidual Reaction in Pregnancy Presenting as an Acute Abdomen: A Case Report

Abstract

Ectopic decidua is usually an incidental finding at caesarean section and is not usually associated with symptoms. A 37-year-old multiparous patient presented with features of acute abdomen in the third trimester of pregnancy. Laparotomy revealed haemoperitoneum of about 2 litres, multiple pelvic adhesions and nodular lesions (measuring 2-4mm across) on the serosa of the uterus. Histology of biopsy specimens from the lesions showed them to be decidual in nature. Postnatal examination at 6 weeks revealed a healthy looking lady with complete involution of pelvic organs.


(Tropical Journal of Obstetrics and Gynaecology: 2001, 18(2): 91-92)