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Cervicitis Decidualis: A Rare Cause of Antepartum Hemorrhage

Oladipo, Abiodun MRCOG1; Mathew, Joseph FRCPath2

Journal of Lower Genital Tract Disease: January 2005 - Volume 9 - Issue 1 - pp 52-54
Original Articles

This report describes the case of a patient with clinically antepartum hemorrhage and a colposcopic lesion resembling invasive cervical cancer. A 28-year-old patient sought treatment at 28 weeks of pregnancy with significant antepartum hemorrhage, clinically thought to be a result of placenta previa or abruptio placenta. Colposcopy showed a lesion resembling an invasive cervical cancer for which a biopsy was taken. Abnormal placentation was ruled out by ultrasound examination of the uterus. Histologic analysis showed a cervical decidual reaction with focal surface ulceration accounting for the cervical growth and hemorrhage. We describe an unusual cause of significant intrapartum hemorrhage attributable to cervical decidual reaction, mimicking abnormal placentation clinically and invasive cervical cancer colposcopically.

We present an unusual case of an intrapartum cervical decidual reaction, presenting as antepartum hemorrhage (APH), mimicking placental previa clinically and invasive cervical cancer colposcopically.

Departments of 1Obstetrics and Gynecology and 2Histopathology, Royal Cornwall Hospital, Truro, Cornwall, United Kingdom

Reprint requests to: Joseph Mathew, FRCPath, Department of Histopathology, Royal Cornwall Hospital, Truro, Cornwall, United Kingdom TR1 3LJ. E-mail: joe.mathew@rcht.cornwall.nhs.uk

©2005The American Society for Colposcopy and Cervical Pathology