Decidual casts: Dilemma for clinicians, relief for patients – A case series

Decidua is endometrium that hormonally prepared for pregnancy. Decidual cast the entire sloughed takes form of endometrial cavity. It a rare entity which result high progesterone on uterine endometrium. has association with intrauterine pregnancy, ectopic incomplete abortion and in non-pregnant states use hormonal pills etc. We are here presenting case series decidual casts. observed all our patients had similar history recent intake contraceptives followed by bleeding passage fleshy mass from vagina. The differential diagnosis per vaginum includes conditions ranging benign to malignant, therefore, study emphasizes importance considering it mind, since mimics malignancy but not signal serious condition.