Decidua en la superficie peritoneal imitando nódulos metastásicos. Hallazgos durante una intervención cesárea
DOI:
https://doi.org/10.31053/1853.0605.v59.n1.36796Keywords:
Decidua, Metaplasia, Coelomic stromaAbstract
The occurrence of cctopic decidua has been observed rnost often in the ovaries, uterus, and cervix. A peritoneal localization is less frequent and usually an asymptomatic incidental finding. Ectopic decidua was investigated in biopsies taken during cesarean sections, electíve tubal ligations, appendectomy and in tubal pregnancies. ITistologic studies have been carried out of fragments from the epiploon, appendiceal serosa, tubal serosa, retroperitoneal lymph nodes and various abdominal organs. Our purpose is to report a case of peritoneal deciduosis in a 46-year-o1d woman, asymptomatic, discovered during cesarean section and rniniicking metastatic nodules (in- cidental linding). The histopathological diag- nosis was done based on specimen studied with the common technique of paraffin embcdding and hematoxilin - eosin staining. Wc believe that this decidual transformation of the peritoneurn arises from a pro gesterone-induced metaplasia of the coelomic stroma, being often a totally reversible phenomenon.
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References
Packeisen J, Knieriem H. Acute appendicitis caused by prcgnancy associated ectopic decidua. Case report and discussion of pathogenesis. Pathologe 1999; 20:355-8
Zaytsev P, Taxy JB. Pregnancy-associated ectopic decidua. Am J Surg Pathol 1987; 11:526-30
Heidegger 1-1. Hunipfner A, hugo R, Schulz W. Peritoneal deciduosis: cause íor mechanical ileus in pregnancy. Geburtshilfe Fraucnheilkd 1991 5 1:307-9
Bedivan M. Decidual changes in the epiploon during i ntrauterine pregnancy. Rey Fr Gynecol Obstet 1991; 86:22 1-3
Buttner A, Bassler R, Theele C. Pregnancy-
associated ectopic decidua (deciduosis) of
the greater omentuni. An analysis of 60
biopsies with cases of fibrosing deciduosis
and leiomyomatosis peritonealis
clisseminata. Pathol Res Pract 1993
189:352-9
Richter MA, Choudhry A, Barton JJ,
Merrick RE. Bleeding ectopic decidua as a
cause ofintraabdominal hemorrhage. A case
report. J Reprod Mcd 1983; 28:430-2
Ordonez NG. Epithelial mesothelioma with
deciduoid features: report of four cases. Am
J Surg Pathol 2000; 24: 816-23
Shanks JH, 1-larris M, Baneijee SS, Eyden
BR Joglekar VM, Nicol A, Ilasleton PS,
Nicho1son AG. Mesotheliomas with
deciduoid morphology: a morphologic
spectrum and a variant not confined to
young females. Am J Surg Pathol 2000;
24:285-94
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