Article ID Journal Published Year Pages File Type
3962354 Journal of Pediatric and Adolescent Gynecology 2007 4 Pages PDF
Abstract

BackgroundThe passage of tissue per vaginam in a young girl raises several diagnostic considerations that include aborted pregnancy, benign polyp, rhabdomyosarcoma, and rarely decidual cast.CaseA 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.ConclusionsDecidual cast formation is a rare side effect of progestogen use and should be considered in the differential diagnosis of passage of tissue per vaginam.

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Health Sciences Medicine and Dentistry Obstetrics, Gynecology and Women's Health
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