Abstract

TORRES-CEPEDA, Duly; RONDON-TAPIA, Martha  and  REYNA-VILLASMIL, Eduardo. Postpartum hypervascular placental polyp. Rev. peru. ginecol. obstet. [online]. 2022, vol.68, n.2, 00013.  Epub July 06, 2022. ISSN 2304-5132.  http://dx.doi.org/10.31403/rpgo.v68i2419.

Placental polyp is a tumor of placental tissue retained within the endometrial cavity. These retained placental tissue fragments, especially those of the hipervascular type, are a possible cause of acute bleeding for an indefinite period after abortion or delivery. These retained placental tissue fragments, composed predominantly of necrotic and hyalinized chorionic villi, give it its hipervascular condition and can cause profuse, life-threatening hemorrhage and require immediate intervention based on the correct differential diagnosis. We present a case of a 45-year-old woman with genital bleeding. The last pregnancy had been 6 years ago. Ultrasonography revealed an intrauterine and echogenic tumor measuring 3 x 2 x 1 centimeters with multiple cystic spaces inside. She underwent successful hysteroscopy-guided resection, and the pathological diagnosis was hipervascular placental polyp. Although rare, placental polyp should be considered as one of the causes of postpartum genital bleeding.

Keywords : Placenta; polyp; hemorrhage..

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