DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20162688

Necrotising myometrial granulomas leading to postpartal hemorrhage: an extremely unusual presentation

Mansi Chandna, Meeta Singh, Garima Singh, Leela Pant

Abstract


Granulomas exclusively involving the myometrium are rare pathological finding and those presenting with atonic post-partum hemorrhage have never been reported. Here we present a case of myometrial granulomas presenting with atonic postpartum hemorrhage (PPH) with no evidence of granulomatous inflammation elsewhere in the body. There was also no history of instrumentation or biopsy of the uterine cavity in the past.

Full Text:

PDF

References


Zumla A, James G. Granulomatous infections: etiology and classification. Clin Infect Dis. 1996;23:146-58.

Williams GT, Williams WJ. Granulomatous inflammation: a review. J Clin Pathol. 1983;36:723-33.

Almoujahed MO, Briski LE, Prysak M, Johnson LB, Khatib R. Uterine granulomas: Clinical and pathological features. Am J Clin Pathol. 2002;117:771-5.

Evans CS, Goldman RL, Klein HZ, Kohout ND. Necrobiotic granulomas of the uterine cervix. A probable postoperative reaction. Am J Surg Pathol. 1984;11:841-4.

Shustin L, Haviv YS, Weinberger M, Safadi R. Talc granuloma of the uterus. Eur J Med Res. 1995;1:49-50.

Klufio CA, Amoa AB, Kariwiga G. Primary postpartum haemorrhage: causes, etiological risk factors, prevention and management. P N G Med J. 1995;38(2):133-49.

Klein TA, Richmond JA, Mishell DR Jr.Pelvic tuberculosis. Obstet Gynecol. 1976;48:99-104.

Nogales-Ortiz F, Tarancon I, Nogales FF Jr. The pathology of female genital tuberculosis. Obstet Gynecol. 1979;53:422-8.

Sinha R, Gupta D Tuli N. Genital tract tuberculosis with myometrial involvement. Int J Gynecol Obstet. 1997;57:191-2.

Hoff E, Prayson RA. Incidental granulomatous inflammation of the uterus. South Med J. 2002;95:884-8.