A rare case of abnormal uterine bleeding caused by cavernous hemangioma: a case report.
BACKGROUND
Cavernous hemangiomas of the uterus are extremely rare, benign lesions. A survey of the current literature identified fewer than 50 cases of hemangioma of the uterus.


METHODS
We report a case of cavernous hemangioma of the uterus in a 27-year-old Malay, para 1 woman who presented at our hospital with torrential vaginal bleeding having been transferred by land ambulance from a district hospital 30 minutes away. 11 weeks previously she had an urgent cesarean section at our hospital. She had to undergo a hysterectomy to control her bleeding after other measures were unsuccessful. A histopathological report confirmed a diffuse ramifying hemangioma of the cervix and uterus with left hematosalpinx.


CONCLUSIONS
Most ramifying hemangioma lesions are asymptomatic and are found incidentally, but sometimes they may cause abnormal vaginal bleeding and hence should be included in the differential diagnosis of patients with vaginal bleeding. Hysterectomy is the primary mode of treatment in most symptomatic cases.
Benjamin
Mridula A
MA
Department of Obstetrics and Gynecology, RIPAS Hospital, Bandar Seri Begawan, Brunei. mridulaben@yahoo.com.
Yaakub
Hjh Roselina
HR
Telesinghe
Pu
P
Kafeel
Gazala
G