PLACENTAL POLYP: A RARITY- TREATED HYSTEROSCOPICALLY.
Sravani Chithra Ch.*, Rahul Manchanda, Anshika Lekhi and Nidhi Jain
ABSTRACT
A placental polyp is an intrauterine polypoid mass occurring from residual placental fragments following surgical abortion, cesarean section or vaginal delivery. They present with symptoms within days to weeks as abnormal uterine bleeding with slightly elevated detectable titers of serum β-human chorionic gonadotropin (βHCG). We present a case of 34 year old woman, P0A4 with history of spontaneous abortion at 6 weeks gestation for which she underwent dilatation and curettage. Following this she presented with complaints of heavy bleeding and dirty discharge per vaginum for 12 days. Ultrasonography revealed features of endometrial polyp with a small vascular pedicle and corpus luteum in left ovary. Based on her history and symptoms, the findings were correlated with serum βHCG which was 96.10 U/L. Diagnostic and operative hysteroscopy was done and polyp found in left cornua was resected. Histopathological examination showed features suggestive of products of conception. Her follow up βHCG was 0 U/L. Through this case the authors would like to stress the importance of hysteroscopy in diagnosis and management of placental polyp that can be missed on ultrasound and blind procedure like curettage.
Keywords: ?HCG, curettage, hysteroscopy, polyp, ultrasonography.
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