Diffuse ectopic peritoneal deciduosis
Relevance: Ectopic deciduosis rarely presents with definite symptoms and complications, and regresses soon after delivery. However, rare cases have been reported, in which the condition may present a different clinical picture. We present a clinical case of diffuse ectopic deciduosis in a 37-year-old patient who presented with an acute abdomen with peritonitis that simulated peritoneal carcinomatosis. During the long-term follow-up, she developed right-sided ureterohydronephrosis, which led to obstruction of urine outflow.Misnik V.V., Oleneva M.A., Raksha A.P., Chernotalova N.S., Semenov Zh.S., Ilyichev A.A., Lebedev I.S.
Case report: On the second day after delivery, the patient developed a clinical picture of an acute abdomen and underwent diagnostic laparoscopy, which revealed multiple miliary lesions in the parietal and visceral peritoneum. Histological examination of the laparoscopic biomaterial showed changes consistent with diffuse ectopic decidualization.
Conclusion: Ectopic deciduosis can be masked by various pathological conditions. Our case demonstrates the importance of using histological and immunohistochemical studies to make a diagnosis and guide appropriate patient management strategy.
Authors' contributions: Oleneva M.A., Lebedev I.S. – conception and design of the study; Misnik V.V., Ilyichev A.A.,
Raksha A.P., Chernotalova N.S. – data collection and analysis; Semenov Zh.S. – statistical analysis; Misnik V.V. – manuscript drafting; Ilyichev A.A., Oleneva M.A. – manuscript editing.
Conflicts of interest: The authors have no conflicts of interest to declare.
Funding: There was no funding for this study.
Patient Consent for Publication: All patients provided informed consent for the publication of their data.
For citation: Misnik V.V., Oleneva M.A., Raksha A.P., Chernotalova N.S., Semenov Zh.S., Ilyichev A.A., Lebedev I.S. Diffuse ectopic peritoneal deciduosis.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; (4): 184-190 (in Russian)
https://dx.doi.org/10.18565/aig.2022.241
Keywords
ectopic deciduosis
carcinomatosis
acute abdomen
postpartum period
preterm delivery
miliary rash
histological study
immunohistochemical study
ureterohydronephrosis
diagnostic laparoscopy
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Received 10.10.2022
Accepted 20.03.2023
About the Authors
Viktoria V. Misnik, PhD, Head of Maternity Department, Perinatal center IMCC "Kommunarka", vikamisnik@yandex.ru, https://orcid.org/0000-0002-9352-7578,108814, Russia, Moscow, Sosenskoe, Kommunarka, Sosensky Stan str., 8.
Marina A. Oleneva, PhD, Deputy Chief Physician for Obstetric and Gynecological Care, Kommunarka IMCC,
108814, Russia, Moscow, Sosenskoe, Kommunarka, Sosensky Stan str., 8.
Alexander P. Raksha, Dr. Med. Sci., Professor, Pathologist, Pirogov City Clinical Hospital No. 1, Moscow Healthcare Department, 119049, Russia, Moscow, Leninsky Ave., 8.
Natalia S. Chernotalova, Pathologist, City Clinical Oncological Hospital No. 1, Moscow Healthcare Department, https://orcid.org/0000-0003-2411-5083,
105005, Russia, Moscow, Baumanskaya str., 17/1.
Zhiraslan S. Semenov, PhD, Surgeon, Pirogov City Clinical Hospital No. 1, Moscow Healthcare Department, 119049, Russia, Moscow, Leninsky Ave., 8.
Artem A. Ilyichev, Resident Physician, Pirogov City Clinical Hospital No.1, Moscow Healthcare Department, averi.ilich@yandex.ru, https://orcid.org/0000-0001-9116-9941, 119049, Russia, Moscow, Leninsky Ave., 8.
Igor S. Lebedev, Dr. Med. Sci., Deputy chief physician for surgery, IMCC Kommunarka, https://orcid.org/0000-0001-7956-3807,
108814, Russia, Moscow, Sosenskoe, Kommunarka, Sosensky Stan str., 8.
Corresponding authors: Viktoria V. Misnik, vikamisnik@yandex.ru; Artem A. Ilyichev, averi.ilich@yandex.ru
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