A rare case of important and recurrent abnormal uterine bleeding in a post partum woman caused by cavernous hemangioma: a case report and review of literature

• Published in: The Pan African medical journal Vol. 28; no. 130; p. 130
• Main Authors: Aka, Kacou Edele, Apollinaire Horo, Gninlgninrin, Fomba, Minata, Kouyate, Salif, Koffi, Abdoul Koffi, Konan, Seni, Fanny, Mohamed, Effi, Benjamin, Kone, Mamourou
• Format: Journal Article
• Language: English
• Published: Uganda African Field Epidemiology Network 2017; The African Field Epidemiology Network; The Pan African Medical Journal
• Subjects: Adult; africa; Anemia; Blood platelets; Blood tests; Case Report; Case reports; Childbirth & labor; Congenital diseases; Disease; Endothelium; Family medical history; Female; Gynecology; Hemangioma; hemangioma cavernous; Hemangioma, Cavernous - complications; Hemangioma, Cavernous - diagnosis; Hemangioma, Cavernous - surgery; Hemorrhage; Humans; Hysterectomy; Laboratories; NMR; Nuclear magnetic resonance; Obstetrics; post-partum; Postpartum Hemorrhage - etiology; Postpartum Hemorrhage - surgery; Postpartum Period; Pregnancy; Pregnancy Complications, Neoplastic - surgery; Ultrasonic imaging; uterine bleeding; Uterine Cervical Neoplasms - complications; Uterine Cervical Neoplasms - diagnosis; Uterine Cervical Neoplasms - surgery; Uterine Neoplasms - complications; Uterine Neoplasms - diagnosis; Uterine Neoplasms - surgery; Womens health; Africa; Ivory Coast; post-partum; Hemangioma cavernous; uterine bleeding; Africa
• ISSN: 1937-8688; 1937-8688
• DOI: 10.11604/pamj.2017.28.130.10084

The cavernous hemangioma is a rare benign vascular tumor. About 50 cases of this disease were found in the literature over the last century and only 9 cases of cavernous hemangioma on the pregnant uterus were published it comes into cavernous or capillary form. The symptomatology is not unequivocal and when it occurs during pregnancy or postpartum, it causes life-threatening cataclysmic hemorrhage. Antenatal diagnosis is difficult and requires a multidisciplinary approach with pathologists, radiologists and gynecologists to avoid these complications or unnecessary hysterectomies. The diagnosis is histological. Hysterectomy is possible after failure of conservative treatment means. We report a rare case, a novel mixed cavernous hemangioma of the body associated with a capillary hemangioma of the cervix in a patient of 28 years 5th visors with recurrent genital bleeding in the postpartum period leading to a hysterectomy.