Spontaneous membranous dysmenorrhea: a rare clinical entity
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20194389Keywords:
Decidual cast, Decidualized endometrium, Dysmenorrhea, Hormonal therapy, Membranous dysmenorrhea, Thickened endometriumAbstract
Membranous dysmenorrhea is a rare painful clinical condition associated with spontaneous expulsion of the endometrium as an entire piece, retaining the shape of the uterus. Authors report a case of membranous dysmenorrhea in a 36 year old multiparous woman, who was not on any hormonal therapy. She presented with history of menorrhagia for 20 days and severe dysmenorrhea for one day. During her second day of hospital admission, she expelled a fleshy mass resembling a decidual cast. Histopathological examination was consistent with diagnosis of membranous dysmenorrhea. The etiology of membranous dysmenorrhea is not very clear and hence reporting such rare cases may aid in understanding the etiology and pathophysiology of this rare condition.
References
Veldman J, Van Houdenhove B, Verguts J. Chronic fatigue syndrome: A hormonal origin? A rare case of dysmenorrhea membranacea. Arch Gynecol Obstet. 2009;279(5):717-20.
Oliveira PP, Eyng C, Zin RM, Menegassi J. Membranous dysmenorrhea - a forgotten disease. Rev Bras Ginecol Obstet. 2009;31(6):305-10.
Rabinerson D, Kaplan B, Fisch B, Braslavski D, Neri A. Membranous dysmenorrhea: the forgotten entity. Obstet Gynecol. 1995;85(5-2):891-2.
Ludwig H. Dysmenorrhea. Ther Umsch. 1996;53:431-41.
Maciel R, Rodrigues S, Inocêncio G, Saraiva J, Montalvão M. Dismenorreia membranosa: uma rara e desconhecida entidade. Acta Obstet Ginecol Port. 2014;894:402-4.
Silveira DS, Jaenickie A, Hollanda ES, Valle RGA, Zimmermmann JB. Dismenorreia membranácea: ainda existe? Relato de Caso Rev HCPA. 2011;31:468-70.
García VZ, Tabernero AL, Torres AA, Dávila FM, Haya J. Dismenorrea membranosa. Expulsión endometrial completa. Toko-Gin Pract. 2011;69:182-4.
Sen Y, Cimbek EA, Ugras NS. Decidual cast after discontinuation of oral contraceptives use in a young girl. J Pediatr Adolesc Gynecol. 2013;26:e127-129.
Appelbaum H. Membranous dysmenorrhea: a complication of treatment for endometriosis. Obstet Gynecol. 2010;116:488-90.
Asch RH, Greenblatt RB. Primary and membranous dysmenorrhea. South Med J. 1978;71:1247-9.
Hellweg GD. Functional disturbances of the endometrium. In: Fox H, editor. Haines and Taylor Obstetrical and Gynaecological Pathology. 3rd ed. New York: 1987;334-5.
Singh V, Talib N, Strickland J. Decidual cast in a girl receiving depot medroxyprogesterone acetate: a case report. J Pediatr Adolesc Gynecol. 2007;20(3):191-4.
