Document Detail

Decidual cast in a girl receiving depot medroxyprogesterone acetate--a case report.
MedLine Citation:
PMID:  17561189     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The passage of tissue per vaginam in a young girl raises several diagnostic considerations that include aborted pregnancy, benign polyp, rhabdomyosarcoma, and rarely decidual cast. CASE: A 9-yr-old girl who was receiving depot medroxy-progesterone acetate to suppress menstruation passed tissue per vaginam. Pathological examination of the tissue showed a decidual cast with no chorionic villi, while a serum hCG test was also negative. CONCLUSIONS: Decidual cast formation is a rare side effect of progestogen use and should be considered in the differential diagnosis of passage of tissue per vaginam.
Vivekanand Singh; Nasreen Talib; Julie Strickland
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric and adolescent gynecology     Volume:  20     ISSN:  1083-3188     ISO Abbreviation:  J Pediatr Adolesc Gynecol     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-11     Completed Date:  2007-08-28     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  9610774     Medline TA:  J Pediatr Adolesc Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  191-4     Citation Subset:  IM    
Departments of Pathology, Pediatrics, and Gynecological Surgery, Children's Mercy Hospital, Kansas City, Missouri 64108, USA.
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MeSH Terms
Contraceptive Agents, Female / adverse effects*
Decidua / pathology*
Delayed-Action Preparations / adverse effects*
Medroxyprogesterone Acetate / adverse effects*
Mental Retardation
Puberty, Precocious / drug therapy
Vaginal Discharge
Reg. No./Substance:
0/Contraceptive Agents, Female; 0/Delayed-Action Preparations; 71-58-9/Medroxyprogesterone Acetate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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