Vaginal extrusion of huge decidual cast: an exceptional case report

Abstract

Infrequent, irregularly irregular delayed menstrual period accompanied by heavy bleeding
prolonged for weeks to months was treated with oral norethisterone 5mg tablet in 5mg – 30mg
daily divided dose resulted in painful vaginal extrusion of huge fleshy mass (10 x7 x 5 cm) retaining
the shape uterus histopathologically confirmed as decidual cast, a rare, as well as incomparable
case, is described in an unmarried nulligravida in late twenty’s to alert the association of
progesterone to membranous dysmenorrhea.
Everyone under the hormonal treatment for menstrual disorders must be educated and made
aware of the underlying dreadful possibility of painful vaginal expulsion of decidual cast ascribed
to membranous dysmenorrhea to cope or overcome the fright.