Modern management of hypervascular placental polypoid mass following spontaneous abortion: a case report and literature review

Marques, K.S.; Looney, Christopher B.; Hayslip, Clifford C.; Gavrilova-Jordan, Larisa

doi:10.1016/j.ajog.2011.01.070

Cited by 18 publications

(15 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, Marques et al . attempted the temporary occlusion of iliac arteries by intra‐arterial balloon inflation during TCR and successfully removed RPOC without profuse bleeding . Regarding caution, this case report revealed that temporarily reducing blood flow is sufficient to protect against massive bleeding during the treatment.…”

Section: Discussionmentioning

confidence: 95%

Removal of retained products of conception showing marked vascularity without uterine artery embolization: Two case reports

Usui

Sato

Okayama

et al. 2018

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Retained products of conception with marked vascularity can cause massive postabortal or post-partum bleeding. Uterine artery embolization is effective for uterus preservation but does not assure fertility preservation. Thus, the optimal treatment for retained products of conception with marked vascularity is uncertain. Here, we report two cases of retained products of conception with marked vascularity: one early abortion and one hydatidiform mole, which were successfully resolved by dilation and removal of the retained products, without uterine artery embolization. We pretreated the cervical dilation using two or more laminaria tents and named this technique the 'maximum laminaria procedure'. We observed that the vascularity disappeared just after the laminaria tents were removed, and subsequently, we could remove the retained products with minimal bleeding, without uterine artery embolization. This protocol might become a standard treatment for retained products of conception with marked vascularity.

show abstract

Section: Discussionmentioning

confidence: 95%

Removal of retained products of conception showing marked vascularity without uterine artery embolization: Two case reports

Usui

Sato

Okayama

et al. 2018

J of Obstet and Gynaecol

View full text Add to dashboard Cite

show abstract

“…Since our patient wished to conceive in the future and her serum hemoglobin level was decreased to 7.7 g/dl at the initial visit, prompt control of bleeding and complete removal of the placental polyp without any effect on future fertility were desirable. Although Marques et al [11] have reported a case managed successfully with temporary internal iliac balloon occlusion followed by complete hysteroscopic resection as an alternative to UAE, we have had an interest in intraoperative injection of PGF 2a as a less-invasive approach. Murakami et al [12] first reported that injection of 500 lg of PGF 2a is effective for treating a nonpedunculated submucous leiomyoma and that local injection is superior to systemic administration because of its local and short-term effect.…”

Section: Discussionmentioning

confidence: 99%

“…However, UAE may not be an ideal option in patients with intent for future pregnancy because of the risks of ovarian function failure and endometrial atrophy [9,10]. Marques et al [11] reported a case managed successfully with temporary internal iliac balloon occlusion, as an alternative to UAE, followed by complete hysteroscopic resection.…”

Section: Introductionmentioning

confidence: 99%

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

Murakami

Mitani

Miyatani

et al. 2011

Reprod Medicine & Biology

View full text Add to dashboard Cite

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, as an alternative UAE, followed by hysteroscopic resection.

show abstract

“…Most of the disorder occurs after artificial abortion or spontaneous delivery. However, it rarely occurs after spontaneous abortion [2]. It is quite important to recognize the risks of placental polyp because more attention can be paid, and early diagnosis may prevent fatal postpartum hemorrhage.…”

Section: Introductionmentioning

confidence: 99%

“…Its incidence is estimated to be less than 0.25% of all pregnancies [2]. The symptom of the disease is frequent postpartum hemorrhage, but it is sometimes asymptomatic.…”

Section: Introductionmentioning

confidence: 99%

Assisted reproductive technique increases the risk of placental polyp

Baba

Endo

Ikeda

et al. 2013

Gynecological Endocrinology

View full text Add to dashboard Cite

The purpose of this study was to clarify the risk factors and outcomes of placental polyp. This retrospective study was conducted on 1645 patients delivered or aborted in Sapporo Medical University from 2007 through 2011. Transvaginal color Doppler ultrasonography, hysteroscopy, contrast-enhanced MRI or 3D-CT angiography were performed. There were 1532 deliveries and 113 abortions. Seventy-one (4.3%) were ART-conceived and the remaining 1574 (95.7%) were non-ART pregnancies. Fifteen (0.91%) cases were confirmed as having placental polyp. Nine cases of placental polyp were identified among the 1574 (0.57%) as non-ART-related pregnancies, and 6 were identified among the 71 (8.5%) as ART-related pregnancies. Thus, pregnancies achieved through ART showed 20x greater incidence of complicating placental polyp than pregnancies achieved through without ART (p = 9.02 × 10(-6); odds ratio, 19.59; 95% confidence interval, 5.27-72.84, logistic regression analysis). Evaluation of blood flow within the polyp showed that in five of seven patients with low blood flow, the polyps spontaneously dropped off 79-115 days postpartum. Thus, ART-related pregnancies may be a risk factor of placental polyp, and spontaneous drop-off of the polyp is often observed in cases with low blood flow within the mass.

show abstract

Modern management of hypervascular placental polypoid mass following spontaneous abortion: a case report and literature review

Cited by 18 publications

References 7 publications

Removal of retained products of conception showing marked vascularity without uterine artery embolization: Two case reports

Removal of retained products of conception showing marked vascularity without uterine artery embolization: Two case reports

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

Assisted reproductive technique increases the risk of placental polyp

Contact Info

Product

Resources

About

Modern management of hypervascular placental polypoid mass following spontaneous abortion: a case report and literature review

Cited by 18 publications

References 7 publications

Removal of retained products of conception showing marked vascularity without uterine artery embolization: Two case reports

Removal of retained products of conception showing marked vascularity without uterine artery embolization: Two case reports

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

Assisted reproductive technique increases the risk of placental polyp

Contact Info

Product

Resources

About

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