A case of placental polyp treated with an intraoperative injection of prostaglandin F_(2alpha) followed by hysteroscopic resection

摘要

A 27-year-old woman had massive genital bleeding after an artificial abortion. Color Doppler ultra-sonography showed a hypervascular mass. Hysteroscopy revealed a placental polyp. Serum hemoglobin level was decreased to 7.7 g/dl. Although uterine artery emboliza-tion (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_(2alpha), as an alternative UAE, followed by hysteroscopic resection.