Rare case of endometrial vascular dystrophy: Three case reports

JinCheng Huang, WenJian Zhang, Min Guo, Kun Tang, YongJuan Zheng, CuiFen Li
In: Medicine · 2023 · vol. 102(32) , pp. e34546 · doi:10.1097/md.0000000000034546 · PMID:37565916 · W4385751181
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This paper reports three cases of endometrial vascular dystrophy, a rare hysteroscopic finding in the secretory endometrium, treated successfully with hysteroscopy and curettage.

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Abstract

RATIONALE: Endometrial vascular dystrophy refers to abnormal vessels that are very tortuous, dilated, and sometimes thrombosed. Endometrial vascular dystrophy is rare under hysteroscopy. PATIENT: All three patients had a history of abnormal uterine bleeding. The duration of vaginal bleeding ranged from 1 month to 2 years. There was no history of unusual diseases, alcohol or drug abuse, or genetic history. DIAGNOSES: Endometrial vascular dystrophy. INTERVENTION: Three patients underwent hysteroscopy and curettage under intravenous general anesthesia. Pathological examination showed secretory endometrium, with one case coexisting with endometrial polyps. OUTCOMES: No recurrence was found during postoperative follow-up at 12 months. LESSONS: Endometrial vascular dystrophy is a rare hysteroscopy phenomenon shown in the secretory endometrium. We believe that it was a capillary loop with different manifestations.

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