Conservative treatment for hypervascularised placental polyp with secondary haemoperitoneum: a case report
Author(s)
Type
Journal Article
Abstract
OBJECTIVE: We describe the first case to our knowledge of Hypervascularised placental polyp (HPP) presenting with acute pelvic pain and hemoperitoneum. CASE REPORT: A 33 years-old woman with a history of medical abortion three months earlier came to our attention complaining acute pelvic pain and vaginal bleeding. Transvaginal (TV) and transabdominal (TA) ultrasound (US) demonstrated a highly vascular intrauterine lesion and intra-abdominal free fluid consistent with a diagnosis of haemoperitoneum. Emergency laparoscopy yielded no intra-abdominal bleeding and was followed by bilateral selective embolization of the uterine arteries due to persistent vaginal bleeding. Hysteroscopy and pathology findings were consistent with a final diagnosis of HPP. CONCLUSION: HPP may occur months or years after pregnancy or abortion and the clinical picture of abnormal vaginal bleeding associated with acute abdominal pain and haemoperitoneum should warrant to consider HPP among the differential diagnosis. Clinical and imaging findings need to be considered when planning the conservative management of HPP. Our experience suggests that uterine artery embolization is a safe and effective for the conservative treatment of highly vascularized HPP.
Date Issued
2021-04-30
Date Acceptance
2020-04-17
Citation
Acta bio-medica : Atenei Parmensis, 2021, 92 (S1)
ISSN
0392-4203
Publisher
Mattioli 1885 SpA
Journal / Book Title
Acta bio-medica : Atenei Parmensis
Volume
92
Issue
S1
Copyright Statement
© 2021 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/33944840
Subjects
Adult
Conservative Treatment
Female
Hemoperitoneum
Humans
Hysteroscopy
Placenta
Polyps
Pregnancy
Publication Status
Published
Coverage Spatial
Italy
Article Number
e2021157