ABSTRACT Purpose: Cavernous haemangiomas of the uterine cervix are very rare and usually harmless. It is a benign tumor that may cause gynecological obstetrical complications. Although it is a benign condition but it can have serious consequences for the mother as well as for the baby. The treatment is often surgical and diagnosis is histological. Methods and Result: we reported a case of cavernous haemangioma of the cervix in a 25-year old multiparous patient, referred to our Centre in the 33 - 34 gestational weeks for premature labor with membranes rupture. A 3 cm × 6 cm soft regular purplish red mass is found in the uterine cervix. Tocolosys, prophylactic antibiotic therapy and corticotherapy for fetus pulmonary maturation were then decided after elimination of chorioamniotite signs. Caesarean has been made during labor, a week later, for tumor previa. The tumor excision has been made through the vagina after fetus extraction. The histological examination confirmed diagnosis of the cavernous haemangioma. Discussion: Further to this observation, the clinical, histological and therapeutic characteristics of the cavernous haemangioma unusual presentation were drawn up and literature enriched since this pathology is rare. Most previous reports in the literature consist of singlecase histories, and the experience of individual institutions is limited. The patients dramatically present dilemmas in the disease management. This can result in uncontrolled bleeding especially during operative delivery and may require hysterectomy. To avoid unexpected bleeding from haemangioma, patients should be repeatedly examined for haemangioma of the birth canal, and special care should be taken in choosing the delivery mode.
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nullElkhateb, S. , Idrissi, M. , Laabadi, K. , Chbani, L. , Chaara, H. and Melhouf, A. (2011) Cavernous hemangioma of the cervix and pregnancy: a case report. Open Journal of Obstetrics and Gynecology, 1, 221-225. doi: 10.4236/ojog.2011.14043.
 Gupta, R., Singh, S., Nigam, S. and Khurana, N. (2006) Benign vascular tumors of the female genital tract. International Journal of Gynecology Cancer, 16, 1195-1200.
 Gusdon, J.P. (1965) Haemangioma of the cervix four new cases and a review. American Journal of Obstetrics Gynecology, 91, 204-209.
 Virk, R.K., Zhong, J. and Lu, D. (2008) Diffuse cavernous haemangioma of the uterus in a pregnant woman: Report of a rare case and review of literature. Archives of Gynecology and Obstetrics, 279, 603-605.
 Talerman, A. (1967) Hemangioma of the ovary and the cervix. Obstetrics and Gynecology, 30, 108-113.
 Cherkis, R.C. and Kamath, C.P. (1988) Hemangioma of the uterine cervix and pregnancy: A case report. Journal of Reproductive Medicine, 33, 393-395.
 Reggiani Bonetti, L., Boselli, F., Lupi, M., Bettelli, S., Schirosi, L., Bigiani, N., Sartori, G. and Rivasi, F. (2009) Expression of estrogen receptor in haemangioma of the uterine cervix: Reports of three cases and review of the literature. Archives of Gynecology and Obstetrics, 280, 469-472. doi:10.1007/s00404-009-0928-0
 Baxi, S. (2005) Capillary haemangioma of the cervix-a case report. Indian Journal of Pathology and Microbiology, 48, 373-375.
 Ozyer, S., Uzunlar, O., Gocmen, M., Bal, S., Srvan, L. and Mollamahmuto?lu, L. (2006) Cavernous hemangioma of the cervix: A rare cause of vaginal bleeding. Journal of Lower Genital Tract Disease, 10, 107-108.
 Wang, Y.C., Chen, C.H., Su, H.Y., Li, H.S. and Liu, J.Y. (2005) Huge spindle cell hemangioma of the cervix-mimicking a pelvic tumor. Gynecologic and Obstetric Investigation, 60, 98-101. doi:10.1159/000085523
 Kondi-Pafiti, A., Kairi-Vassilatou, E., Spanidou-Carvouni, H., Kontogianni, K., Dimopoulou, K. and Goula, K. (2003) Vascular tumors of the female genital tract: A clinicopathological study of nine cases. European Journal of Gynaecological Oncology, 24, 48-50.
 Petry, K.U., Bernhards, J. and Jagla, K. (1994) Caver- nous hemangioma of the uterine cervix in pregnancy. Geburtshilfe Frauenheilkd, 54, 62-64.
 Jackson, J. (1993) Natural history of a cervical cavernous hemangioma through two pregnancies. Journal of the American Board of Family Practice, 6, 283-287.
 Lovett, B.G. and Camden, N.J. (1959) Hemangioma of uterine cervix complicating pregnancy. American Journal of Obstetrics and Gynecology, 78, 424.
 Poppe, W., Van Assche, F.A., Wilms, G., Favril, A. and Baert, A. (1987) Pregnancy after transcatrher embolization of a uterine arteriovenous malformation. American Journal of Obstetrics and Gynecology, 156, 1179.
 Malhotra, S., Sehgal, A. and Nijhawan, R. (1995) Cavernous hemangioma of the uterus. International Journal of Gynecology and Obstetrics, 51, 159-160.
 Enzinger, F.M. and Weiss, S.W. (1995) Soft tissue tumors. Third Edition, The CV Mosby company, St Louis.
 Tanaka, N., Tsuda, M., Samura, O., Miyoshi, H., Hara, T. and Kudo, Y. (2007) Blue rubber bleb nevus syndrome: Report of a patient with haemangiomas of the vaginal portion of the cervix appearing during pregnancy. Journal of Obstetrics and Gynaecology Research, 33, 546-548. doi:10.1111/j.1447-0756.2007.00568.x
 Ahern, J.K. and Allen, N.H. (1978) Cervical hemangioma: A case report and review of the literature. Journal of Reproductive Medicine, 21, 228-231.
 Padmanabhan, V., Mount, S.L. and Eltabbakh G.H. (2001) Cavernous hemangioma of the cervix in association with focal nodular hyperplasia of the liver: A case report. Journal of Reproductive Medicine, 46, 1067-1070.
 Riggs, J., Bertoni, M., Schiavello, H., Weinstein, A. and Kazimir, M. (2003) Cavernous hemangioma of the cervix with intractable bleeding: A case report. Journal of Reproductive Medicine, 48, 741-743.