A case of placental polyp treated with an intraoperative injection of prostaglandin F2α followed by hysteroscopic resection

Masahiko Maegawa; Ryuji Mitani; Yuka Miyatani; Saki Ueta; Satoko Endo; Miho Senuma; Yasuki Sakamoto; Masaharu Kamada; Minoru Irahara

doi:10.1007/s12522-011-0116-3

A case of placental polyp treated with an intraoperative injection of prostaglandin F_2α followed by hysteroscopic resection

Reprod Med Biol. 2011 Dec 17;11(2):105-108. doi: 10.1007/s12522-011-0116-3. eCollection 2012 Apr.

Authors

Masahiko Maegawa¹, Ryuji Mitani¹, Yuka Miyatani¹, Saki Ueta², Satoko Endo³, Miho Senuma⁴, Yasuki Sakamoto⁴, Masaharu Kamada⁵, Minoru Irahara²

Affiliations

¹ Department of Obstetrics and Gynecology Tokushima Prefectural Central Hospital 1-10-3 Kuramoto-cho 770-8539 Tokushima Japan.
² Department of Obstetrics and Gynecology Institute of Health Biosciences, The University of Tokushima Graduate School 770-8503 Tokushima Japan.
³ Endo's Clinic for Women 779-3233 Tokushima Japan.
⁴ Ladies Clinic COSMOS 780-0842 Kochi Japan.
⁵ Department of Obstetrics and Gynecology Health Insurance Naruto Hospital 772-8503 Tokushima Japan.

Abstract

A 27-year-old woman had massive genital bleeding after an artificial abortion. Color Doppler ultrasonography showed a hypervascular mass. Hysteroscopy revealed a placental polyp. Serum hemoglobin level was decreased to 7.7 g/dl. Although uterine artery embolization (UAE) followed by hysteroscopic resection has been used for treatment of a placental polyp, UAE may not be an ideal option for patients with intent for future pregnancy because of the risk of ovarian function failure. This report presents a case of a placental polyp managed successfully with intracervical injection of prostaglandin F_2α, as an alternative UAE, followed by hysteroscopic resection.

Keywords: Artificial abortion; Placental polyp; Prostaglandin F2α; Severe hemorrhage; Transcervical resection.

Publication types

Case Reports