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Obstet Gynecol. 2014 Aug;124(2 Pt 2 Suppl 1):448-51. doi: 10.1097/AOG.0000000000000281.

Endometrial adenocarcinoma presenting as a hematotrachelos.

Author information

1
Departments of Obstetrics, Gynecology, and Reproductive Sciences and Diagnostic Radiology, Yale University School of Medicine, New Haven, Connecticut.

Abstract

BACKGROUND:

Hematotrachelos, distension of the uterine cervix with accumulated blood, is an extremely rare condition resulting from a congenital anomaly or an acquired condition. We present a case in which an acquired hematotrachelos was the presenting sign of endometrial cancer.

CASE:

An asymptomatic 66-year-old woman was found to have a bulging cervix during a well-woman visit. Further workup revealed a hematotrachelos and an underlying endometrial adenocarcinoma. She was treated with surgery and adjuvant radiotherapy.

CONCLUSION:

A hematotrachelos, although rare, can prevent vaginal bleeding, which is often the earliest symptom of a uterine malignancy. This case report illustrates the potential importance of the pelvic examination as part of the well-woman physical examination, because it led to the discovery of early-stage endometrial cancer.

PMID:
25004331
DOI:
10.1097/AOG.0000000000000281
[Indexed for MEDLINE]
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