Not associated with progesterone in postmenopausal women She presented with severe cramping abdominal pain and bleeding with explusion of a huge cast, retaining the shape of uterine cavity; 2 cm thick, 15cm long and 7 cm wide in dimension. It is uncommon to see a decidual cast of mentioned size, shape & thickness without the use of progesterone. This was confirmed by histopathology as decidual cast. Post menopausal women (aged 52 years) with irregular bleeding, being treated symptomatically with tranexamic acid and ormeloxifene.
There are few studies identified in the literature that is why is this case is considered important. This is usually reported in the second and third decade. The decidual cast has a well-known association with ectopic pregnancy. In nonpregnant women, the decidual cast has been reported as a side effect with the use of the transdermal contraceptive…
