Infantile/Capillary Hemangioma of the Uterine Corpus: A Rare Cause of Abnormal Genital Bleeding

• Published in: Journal of pediatric and adolescent gynecology 2022, Vol.35 (5), p.597-600
• Main Authors: Ralph, Constanza, Cuello, Mauricio A, Merino, Paulina M, M, Florencia De Barbieri, Astudillo, Katya, Huete, Álvaro, García, Cristián, Pomés, Cristián
• Format: Report
• Language: English
• ISSN: 1873-4332
• DOI: 10.1016/j.jpag.2022.02.001

BACKGROUNDInfantile hemangiomas are vascular anomalies. However, they rarely cause genital bleeding. Here, we present the case of a young female with an endocavitary hemangioma who presented with abnormal uterine bleeding (AUB). CASEThe patient was an 8-year-old female with genital bleeding. Transabdominal pelvic ultrasound showed a 20-mm highly vascularized focal intrauterine endocavitary lesion. Vascular computerized tomography excluded vascular anomalies. Magnetic resonance imaging suggested a hemangioma. Minimally invasive open surgery was performed to remove the lesion. Subsequent pathology analyses confirmed an infantile/capillary hemangioma. CONCLUSIONSInfantile hemangiomas are vascular anomalies that should be considered potential causes of AUB in early puberty. The study of these cases should include pelvic ultrasound and vascular magnetic resonance imaging. Experienced surgeons can successfully accomplish fertility-sparing surgical procedures. SUMMARYWe describe an unusual case of peripubertal AUB caused by an endocavitary capillary hemangioma. Management included fertility-sparing surgery and the complete resolution of symptoms.