Andrology and Gynecology Reports

Cavernous Hemangioma of the Uterus: Case Report

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Published Date: September 05, 2018

Cavernous Hemangioma of the Uterus: Case Report

Sreelatha S*, Sneha, and Swetha Sharan

Department of OBG, ESIC MC & PGIMSR, Rajajinagar, Bangalore–560010, Karnataka, India

*Corresponding author: Sreelatha S, Department of OBG, ESIC MC & PGIMSR, Rajajinagar, Bangalore–560010, Karnataka, India

Citation: Sreelatha S, Sneha, Sharan S (2018) Cavernous Hemangioma of the Uterus: Case Report. Andr Gyn Rep 1(1):104.

 

Abstract

 

Cavernous hemangioma of the uterus is a very rare lesion. It’s more common in pregnant women comparatively less in non-pregnant women. We are reporting a case of cavernous hemangioma in a 35 year old lady treated successfully.

Keywords: Cavernous hemangioma; Uterus; Pregnant; Hysterectomy; Uterine artery embolization

 

Introduction

 

Cavernous hemangiomas are found at all levels of uterine walls like serosa, myometrium and endometrium, usually myometrium are involved diffusely. This cavernous hemangioma is associated with obstetrics and gynecological complaints like heavy menstrual bleeding and intra-uterine death of fetus. A survey of the current literature identified fewer than 50 cases of hemangioma of the uterus.

 

Case Report

 

A 35 years old lady came to OPD with complaints of heavy menstrual bleeding for two months with no other gynec problems. On examination pallor, ++, pulse 100, BP was 110/70 mm/hg CVS/RS normal per abdomen soft perspeculum polyp measuring about 7cm  arising from the cavity cervix is free from the polyp (Figure 1). Per vaginal examination uterus anteverted and it was bulky 10cm fornices are free. Her HB was 6gm% blood group was O+ve, another investigation was normal. The patient was transfused with two bottles of blood. After correction of anemia, polypectomy and D&C was done under spinal anesthesia. The patient was discharged after two days. HPE reports show it is a cavernous hemangioma of the uterus. The section shows completely hemorrhagic and necrotic tumor mass composed of dilated thin walled blood vessels.

 

Discussion

 

A cavernous hemangioma of the uterus may occur as an isolated lesion of the uterus [1–6]. Salm R. [6] surveyed the literature for diffuse cavernous hemangioma of the uterus in the early part of the 20th century. He recorded two cases of isolated and localized cavernous hemangioma of the uterus in non-pregnant multiparous women, who presented with uncontrolled vaginal bleeding and underwent a hysterectomy. Recent literature documents only three published cases of cavernous hemangioma in non-pregnant women. In non-pregnant women, uterine artery embolization or internal artery ligation is recommended. The appropriate treatment for endometrial hemangiomas remains unclear. The few cases in the literature describe conservative treatments, such as carbon dioxide laser excision, knife excision, cryotherapy, radiotherapy, electrocauterization, and uterine artery embolization, having been tried. In cases not responding to conservative treatments, hysterectomy is to be considered.

 

Conclusion

 

This cavernous hemangioma of the uterus is usually asymptomatic and is found incidentally. Usually, they are present with abnormal uterine bleeding. Hysterectomy will be the permanent treatment.

 

References

 

  1. Benjamin MA, Yaakub HR, Telesinghe P, Kafeel G. A rare case of abnormal uterine bleeding caused by cavernous hemangioma: a case report. J Med Case Reports. 2010;4:136.   
  2. Virk RK, Zhong J, Lu D. Diffuse cavernous hemangioma of the uterus in a pregnant woman: Report of a rare case and review of literature. Arch GynecolObstet. 2009;279:603-5. doi: 10.1007/s00404-008-0764-7.     
  3. Sharma JB, Chanana C, Gupta SD, Kumar S, Roy K, Malhotra N. Cavernous hemangiomatous polyp: An unusual case of perimenopausal bleeding. Arch GynecolObstet. 2006;274:206-8.   
  4. Uzunlar AK, Yilmaz F, Kilinç N, Arslan A. Cavernous hemangioma of the uterus: A case report. Eur J Gynaecol Oncol. 2002;23:72-3. 
  5. Malhotra S, Sehgal A, Nijhawan R. Cavernous hemangioma of the uterus. Int J Gynaecol Obstet. 1995;51(2):159-60.
  6. Salm R. Diffuse cavernous hemangioma of the uterus. J Pathol Bacteriol. 1959;77:111-5.   

 

Copyright: © 2018 Sreelatha S, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.