Decidual Cast in a Girl Receiving Depot Medroxyprogesterone Acetate-A Case Report

Vivekanand Singh, Nasreen Talib, Julie Strickland

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Background: The passage of tissue per vaginam in a young girl raises several diagnostic considerations that include aborted pregnancy, benign polyp, rhabdomyosarcoma, and rarely decidual cast. Case: A 9-yr-old girl who was receiving depot medroxy-progesterone acetate to suppress menstruation passed tissue per vaginam. Pathological examination of the tissue showed a decidual cast with no chorionic villi, while a serum hCG test was also negative. Conclusions: Decidual cast formation is a rare side effect of progestogen use and should be considered in the differential diagnosis of passage of tissue per vaginam.

Original languageEnglish (US)
Pages (from-to)191-194
Number of pages4
JournalJournal of pediatric and adolescent gynecology
Issue number3
StatePublished - Jun 2007
Externally publishedYes


  • Decidual cast
  • Medroxyprogesterone
  • Side effect

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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