title: A placental polyp arising from an exaggerated placental site.
abstract: There are very few reported cases of the clinical course of exaggerated placental site, and a case of a placental polyp arising from an exaggerated placental site has not been reported previously. Here, we report a case of a 43-year-old woman whose chief complaint was of massive genital bleeding. She had undergone an operation for induced abortion in the first trimester 41 days previously. A placental polyp measuring 45 mm with an abundant blood flow could be detected by transvaginal color Doppler ultrasonography and enhanced magnetic resonance imaging. We performed a transabdominal simple total hysterectomy. At the anterior wall of the uterus, a protruding lesion into the uterine cavity was observed and a placental polyp was attached to the protruding lesion. The histological specimen of the protruding lesion, which was considered to be the implantation site, showed intermediate trophoblastic cells infiltrated into the myometrium. An exaggerated placental site was diagnosed, which might lead to a placental polyp.
authors.affiliation: Department of Obstetrics and Gynecology, Nara City Hospital, Nara, Japan. harada@nara-jadecom.jp
authors.forename: Naoya
authors.initials: N
authors.lastname: Harada
authors.forename: Ichiro
authors.initials: I
authors.lastname: Nobuhara
authors.forename: Noriko
authors.initials: N
authors.lastname: Haruta
authors.forename: Megumi
authors.initials: M
authors.lastname: Kajimoto
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects*; D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010922:Placenta Diseases / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D010929:Placentation; D011127:Polyps / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery; D011183:Postoperative Complications / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery; D014592:Uterine Hemorrhage / Q000209:etiology