Cavernous Haemangiomatous Polyp of Uterine Endocervix: A Rare Cause of Recurrent Post Coital Bleeding and Intrapartum Haemorrhage- A Case Report

Abstract

Background: Cavernous haemangioma of the uterine cervix is a very rare benign vascular tumour. Few cases have been reported to date; and among them only very few cases are associated with pregnancy. Although rare it may cause obstetrical and gynaecological complications.

Case Presentation: A 27-year old woman initially presented with history of recurrent post coital bleeding and infertility. She later conceived and presented at term with antepartum haemorrhage. An emergency caesarean section was done in view of the excessive bleeding, with findings of polypoid tortuous vessels on the lower uterine segment that was clamped and excised. Histology revealed cavernous haemangioma.

Conclusion: Cavernous Haemangioma should be kept in mind as a differential diagnosis by clinicians of recurrent post coital bleeding and antepartum haemorrhage as it may cause severe maternal and fetal complications.

Key words: Cavernous haemangioma, post coital bleeding, antepartum haemorrhage, endocervical polyps