CASE REPORT: PLACENTAL POLYP PRESENTING AS A CASE OF SECONDARY POSTPARTUM HAEMORRHAGE

Author:

Roy Indrani1,Kurian Sr Ancy M.2

Affiliation:

1. HOD, Department of Obstetrics and Gynecology, Nazareth hospital, Shillong, Meghalaya, India.

2. DNB (T), Department of Obstetrics and Gynecology, Nazareth hospital, Shillong, Meghalaya, India.

Abstract

Placental polyp is one of the rare diseases that can affect women after delivery or abortion for indenite period which forms a polypoidal mass in the uterus.1 The incidence of placental polyp is less than 0.25% of all pregnancies.2 The case report is of a 41 year old woman, G8 P6L6 A1 who presented on postpartum day 19 and 30 with secondary postpartum haemorrhage. She underwent check curettage on postpartum day 19 and was discharged. And had to undergo emergency hysterectomy on postpartum day 32 as she presented in shock due to secondary postpartum haemorrhage and the histopathologic ndings were compatible with a placental polyp. Placental polyp can be missed on ultrasound and blind procedure like curettage and histopathology gives a conrmatory diagnosis. In our study, the diagnosis was conrmed by histopathology.

Publisher

World Wide Journals

Reference15 articles.

1. Alhussami R, Noorwali F, Ibrahim G. A Rare Medical Dilemma : Presentation and Management of Placental Polyp Case Presentation. 2020;12(12):2–7.

2. Ch SC, Manchanda R, Lekhi A, Jain N. Placental polyp : a diagnostic dilemma. 2016;5(7):2069–73.

3. Swan RW, Woodruff JD. Retained products of conception, histologic viability of placental polyps. Obstet Gynecol 1969; 34:506-14.

4. Shamsukha P, Mishrikotkar PS, Kohli V, Saleem Z, College MGMM. Placental Polyp : A Diagnostic Challenge. 2018;20(2):40–2.

5. Dyer I, Bradburn DM. An inquiry into the etiology of placental polyps. Am J Obstet Gynecol 1971; 109: 858-67.

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