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Spontaneous Membranous Dysmenorrhea in an Adolescent Girl: A Case Report and Literature Review.

Abstract

BACKGROUND

Membranous dysmenorrhea is a rare entity. It involves the sloughing of the endometrium in 1 cylindrical or membranous piece, retaining the shape of the uterine cavity. Herein, we report the first case of spontaneous membranous dysmenorrhea in an adolescent girl.

CASE

A 17-year-old girl was admitted to the emergency clinic with severe painful menstrual bleeding and passage of tissue via the vagina. Bloody endometrial tissue resembling the endometrial cavity expulsed from the vagina was seen on inspection. The pathologic diagnosis of the mass was membranous dysmenorrhea.

SUMMARY AND CONCLUSION

To our knowledge, this is the first case of the spontaneous occurrence of membranous dysmenorrhea. The relationship between membranous dysmenorrhea and endogenous or exogenous progesterone should be investigated further. A review of the literature on membranous dysmenorrhea is presented.

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  • Authors+Show Affiliations

    ,

    Department of Obstetrics and Gynecology, Dr Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey. Electronic address: dronurtopcu@gmail.com.

    ,

    Ankara Diskapi Children's Hospital, Department of Pediatrics, Ankara, Turkey.

    ,

    Department of Obstetrics and Gynecology, Dr Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.

    ,

    Department of Obstetrics and Gynecology, Dr Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.

    Department of Obstetrics and Gynecology, Dr Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.

    Source

    MeSH

    Adolescent
    Dysmenorrhea
    Endometrium
    Female
    Humans
    Menstruation

    Pub Type(s)

    Case Reports
    Journal Article
    Review

    Language

    eng

    PubMed ID

    26049935

    Citation

    Topçu, Hasan Onur, et al. "Spontaneous Membranous Dysmenorrhea in an Adolescent Girl: a Case Report and Literature Review." Journal of Pediatric and Adolescent Gynecology, vol. 28, no. 5, 2015, pp. e139-41.
    Topçu HO, Topçu S, Kokanalı D, et al. Spontaneous Membranous Dysmenorrhea in an Adolescent Girl: A Case Report and Literature Review. J Pediatr Adolesc Gynecol. 2015;28(5):e139-41.
    Topçu, H. O., Topçu, S., Kokanalı, D., Memur, T., & Doğanay, M. (2015). Spontaneous Membranous Dysmenorrhea in an Adolescent Girl: A Case Report and Literature Review. Journal of Pediatric and Adolescent Gynecology, 28(5), pp. e139-41. doi:10.1016/j.jpag.2014.11.001.
    Topçu HO, et al. Spontaneous Membranous Dysmenorrhea in an Adolescent Girl: a Case Report and Literature Review. J Pediatr Adolesc Gynecol. 2015;28(5):e139-41. PubMed PMID: 26049935.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Spontaneous Membranous Dysmenorrhea in an Adolescent Girl: A Case Report and Literature Review. AU - Topçu,Hasan Onur, AU - Topçu,Seda, AU - Kokanalı,Demet, AU - Memur,Tuba, AU - Doğanay,Melike, Y1 - 2014/11/20/ PY - 2014/05/12/received PY - 2014/11/12/revised PY - 2014/11/13/accepted PY - 2015/6/8/entrez PY - 2015/6/8/pubmed PY - 2016/4/1/medline KW - Adolescent KW - Decidual cast KW - Membranous dysmenorrhea KW - Uterine cast SP - e139 EP - 41 JF - Journal of pediatric and adolescent gynecology JO - J Pediatr Adolesc Gynecol VL - 28 IS - 5 N2 - BACKGROUND: Membranous dysmenorrhea is a rare entity. It involves the sloughing of the endometrium in 1 cylindrical or membranous piece, retaining the shape of the uterine cavity. Herein, we report the first case of spontaneous membranous dysmenorrhea in an adolescent girl. CASE: A 17-year-old girl was admitted to the emergency clinic with severe painful menstrual bleeding and passage of tissue via the vagina. Bloody endometrial tissue resembling the endometrial cavity expulsed from the vagina was seen on inspection. The pathologic diagnosis of the mass was membranous dysmenorrhea. SUMMARY AND CONCLUSION: To our knowledge, this is the first case of the spontaneous occurrence of membranous dysmenorrhea. The relationship between membranous dysmenorrhea and endogenous or exogenous progesterone should be investigated further. A review of the literature on membranous dysmenorrhea is presented. SN - 1873-4332 UR - https://www.unboundmedicine.com/medline/citation/26049935/Spontaneous_Membranous_Dysmenorrhea_in_an_Adolescent_Girl:_A_Case_Report_and_Literature_Review_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1083-3188(14)00374-X DB - PRIME DP - Unbound Medicine ER -