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Norethisterone-Associated Decidual Cast Expulsion Mimicking an Acute Gynecologic Emergency: A Case Report
Tuka Hamasho1, Nazaha Al-Hassoun1, Nagham Al-Hassoun1
1Faculty of Medicine Hama University Hama Syrian Arab Republic.
Clinical Case Reports
|September 16, 2026
Abstract:
Decidual cast is a rare benign condition that may mimic acute gynecologic emergencies. It should be suspected in patients with severe colicky pain followed by sudden relief after tissue expulsion, especially with progestin use such as norethisterone. Accurate diagnosis and histopathology prevent unnecessary surgery.
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