Endometrial Cast Expulsion: A Rare Cause of Pelvic Pain Case Report and Review of the Literature |
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| Authors: | Presley Parkes Jennifer L. Trainor Mehul Raval Cherie Priya Dhar |
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| Affiliation: | 1. Department of Pediatrics, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL;2. Division of Pediatric Emergency Medicine, Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL;3. Division of Pediatric Surgery, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL;4. Division of Adolescent Medicine, Department of Pediatrics, Northwestern University, Feinberg School of Medicine, Chicago, IL |
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| Abstract: | Menorrhagia is common in adolescents and may necessitate treatment with hormonal contraceptive agents. We describe a case of an adolescent female recently initiated on combined hormonal contraceptive pills with passage of an endometrial cast, a rare complication of hormonal contraceptive therapy. Similarities between this case and limited existing literature shed light on the potential pathophysiology and management of this rare, adverse event. As demonstrated by our case, membranous dysmenorrhea, the term for pain associated with shedding an endometrial cast, should be part of the differential diagnosis of an adolescent female with lower abdominal pain who has recently initiated hormonal contraceptive therapy. |
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| Keywords: | Endometrial cast Membranous dysmenorrhea Dysmenorrhea Contraception |
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