title: [Diffuse cavernous hemangioma of the uterus diagnosed during pregnancy. Case report].
abstract: We report the case of a pregnancy of 16 weeks with anemia and a presumptive diagnosis of partial mole. In secondary care this diagnosis was ruled out through ultrasonography and diffuse cysts were found in the myometrium. Spectral Doppler ultrasound showed no flow, but it could be observed with power angiography. Cesarean section was performed at 38 weeks and hysterectomy 24 hours after because of intra-abdominal hemorrhage. Power angiography, spectral Doppler and serum human chorionic gonadotropin are the most useful diagnostic tools in the differential diagnosis of diffuse cavernous hemangioma of the uterus. Postpartum hemorrhage is a likely complication.
authors.affiliation: Departamento de Medicina Materno Fetal, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, México, DF. dracevedo_sandra@yahoo.com.mx
authors.forename: Sandra
authors.initials: S
authors.lastname: Acevedo Gallegos
authors.forename: Juan Manuel
authors.initials: JM
authors.lastname: Gallardo Gaona
authors.forename: Berenice
authors.initials: B
authors.lastname: Velázquez Torres
authors.forename: Salvador
authors.initials: S
authors.lastname: Espino I Sosa
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Santarrosa Pérez
authors.forename: Mario E
authors.initials: ME
authors.lastname: Guzmán Huerta
mesh_terms: D001803:Blood Transfusion; D002585:Cesarean Section; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005260:Female; D006392:Hemangioma, Cavernous / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006465:Hemoperitoneum / Q000209:etiology / Q000601:surgery; D006801:Humans; D006828:Hydatidiform Mole / Q000175:diagnosis; D007044:Hysterectomy; D007231:Infant, Newborn; D008297:Male; D010120:Oxytocics / Q000627:therapeutic use; D010121:Oxytocin / Q000031:analogs & derivatives / Q000627:therapeutic use; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D055815:Young Adult
chemical_list: D010120:Oxytocics; D010121:Oxytocin; C020731:carbetocin