A CASE REPORT OF MEMBRANOUS DYSMENNORHEA IN A PATIENT WHO RECEIVED CONTINOUS COMBINED ESTROGEN-PROGESTERONE PILL.

Anup Arun Gundecha; Rujuta Fuke; Kanchan Golawar; Karishma Nimje

Volume : IX, Issue : IV, April - 2020

A CASE REPORT OF MEMBRANOUS DYSMENNORHEA IN A PATIENT WHO RECEIVED CONTINOUS COMBINED ESTROGEN-PROGESTERONE PILL.

Anup Arun Gundecha, Rujuta Fuke, Kanchan Golawar, Karishma Nimje

Abstract :

Background: Memanous dysmenorrhea is a rare condition in which there is expulsion of endometrial cast in a piece retaining the shape of uterine cavity. Memanous dysmenorrhea as a clinical entity is rarely mentioned in medical literature and textbooks. Patients present with acute abdomen and with little clinical suspicion of this condition, the diagnosis can be missed. It is always confused with number of other conditions and leads to a long list on investigations for related diseases. Objective: To report a case of 35 years woman presenting with acute severe onset of pain in abdomen with bleeding per vaginum with eventual diagnosis of memanous dysmenorrhea. Method: Patient of known case of chocolate cyst of ovary with grade 4 endometriosis presented with acute abdomen and bleeding per vaginum. She received continuous combined estrogen-progesterone pills for 63 days with last pill taken 5 days back. On per speculum inspection fleshy mass was seen protruding from cervical os which raised strong clinical suspicion of decidual cast. Conclusion: High degree of clinical suspicion and thorough clinical examination helps in diagnosing this condition and subsequent management.