PDF(Pubmed)
Abstract：
Placental polyps are rare complications of delivery or abortion. They are thought to complicate less than 0.25% of all pregnancies, although the actual incidence is unknown. While they typically occur within four weeks of delivery or abortion, they can have a variable presentation, which can lead to a delay in care.
A 35-year-old G4P2012 patient presented at 9 weeks gestation for a medication abortion. Post-abortion ultrasound after one week confirmed the abortion was complete and her bleeding ceased. The patient then presented two months later with the new onset of worrisome bleeding. She was found on ultrasound to have a new hypervascular polypoidal mass in the endometrial cavity. She then underwent an in-office dilation and curettage with an electric vacuum aspirator, which was curative. A follow up ultrasound three months later demonstrated no recurrence.
Placental polyps are a rare complication following pregnancy and should be included in the differential when a patient presents with bleeding and a new mass in the endometrial cavity on ultrasound following a delivery or abortion, even when frankly retained products of conception had been ruled out at time of abortion.
A 35-year-old G4P2012 patient presented at 9 weeks gestation for a medication abortion. Post-abortion ultrasound after one week confirmed the abortion was complete and her bleeding ceased. The patient then presented two months later with the new onset of worrisome bleeding. She was found on ultrasound to have a new hypervascular polypoidal mass in the endometrial cavity. She then underwent an in-office dilation and curettage with an electric vacuum aspirator, which was curative. A follow up ultrasound three months later demonstrated no recurrence.
Placental polyps are a rare complication following pregnancy and should be included in the differential when a patient presents with bleeding and a new mass in the endometrial cavity on ultrasound following a delivery or abortion, even when frankly retained products of conception had been ruled out at time of abortion.
摘要：
背景：胎盘息肉是分娩或流产的罕见并发症。据认为，它们使所有怀孕的复杂性不到0.25％，尽管实际发病率未知。虽然它们通常发生在分娩或流产后的四周内，他们可以有一个可变的表示，这可能会导致护理延迟。
方法：一名35岁的G4P2012患者在妊娠9周时进行药物流产。一周后的流产后超声检查证实流产完成，出血停止。然后，患者在两个月后出现了令人担忧的出血的新发作。在超声检查中发现她在子宫内膜腔内有一个新的高血管息肉状肿块。然后，她用电动真空吸气器进行了办公室内的扩张和刮宫，这是治愈的。三个月后的超声随访显示没有复发。
结论：胎盘息肉是妊娠后的一种罕见并发症，当患者在分娩或流产后出现出血和子宫内膜腔内新肿块时，应将其纳入鉴别范围。即使坦率地保留了受孕产品，在堕胎时也被排除在外。
方法：一名35岁的G4P2012患者在妊娠9周时进行药物流产。一周后的流产后超声检查证实流产完成，出血停止。然后，患者在两个月后出现了令人担忧的出血的新发作。在超声检查中发现她在子宫内膜腔内有一个新的高血管息肉状肿块。然后，她用电动真空吸气器进行了办公室内的扩张和刮宫，这是治愈的。三个月后的超声随访显示没有复发。
结论：胎盘息肉是妊娠后的一种罕见并发症，当患者在分娩或流产后出现出血和子宫内膜腔内新肿块时，应将其纳入鉴别范围。即使坦率地保留了受孕产品，在堕胎时也被排除在外。
