Abstract
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 language | English (US) |
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Pages (from-to) | 191-194 |
Number of pages | 4 |
Journal | Journal of pediatric and adolescent gynecology |
Volume | 20 |
Issue number | 3 |
DOIs | |
State | Published - Jun 2007 |
Externally published | Yes |
Keywords
- Decidual cast
- Medroxyprogesterone
- Side effect
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Obstetrics and Gynecology