Successful abdominal delivery in a woman with sonographic diagnosis of diffuse cavernous hemangioma of the uterus.
Diffuse hemangioma of the pregnant uterus is a serious lesion. We report the first case of a successful cesarean section at term following expectant management of pregnancy in a patient with presumed isolated diffuse cavernous hemangioma of the uterus and protein S deficiency. The sonographic diagnosis and clinical management of this condition is described. The presented successful pregnancy underlines that, under close surveillance, consideration should be given to a conservative approach to this sonographic finding during pregnancy, as even an abdominal delivery does not imply hysterectomy inevitably.
University of Würzburg, Department of Obstetrics and Gynecology, Germany.
M W
MW
Sütterlin
T
T
Müller
M
M
Rehn
A
A
Rempen
J
J
Dietl
D000328:Adult; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005260:Female; D006392:Hemangioma, Cavernous / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000000981:diagnostic imaging*; D018455:Protein S Deficiency / Q000150:complications; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000150:complications / Q000000981:diagnostic imaging*