Extrauterine Decidual Reaction in Pregnancy Presenting as an Acute Abdomen: A Case Report

  • John E. Ekabua
  • Itam H. Itam
  • Etim E.J. Asuquo
  • Saturday J. Etuk
  • A. U. Eiuma
  • P Jubrin
Keywords: Decidua, Acute Abdomen, Haemoperitoneum


Ectopic decidua is usually an incidental finding at caesarean section and is not usually associated with symptoms. A 37-year-old multiparous patient presented with features of acute abdomen in the third trimester of pregnancy. Laparotomy revealed haemoperitoneum of about 2 litres, multiple pelvic adhesions and nodular lesions (measuring 2-4mm across) on the serosa of the uterus. Histology of biopsy specimens from the lesions showed them to be decidual in nature. Postnatal examination at 6 weeks revealed a healthy looking lady with complete involution of pelvic organs.

(Tropical Journal of Obstetrics and Gynaecology: 2001, 18(2): 91-92)

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eISSN: 0189-5117