| Author: Eva Račanská
Description:
52 year old III. para referred by gynecologist for perimenopausal irregular bleeding which started after 6 months of amenorrhoea. No significant personal history. 3 spontaneus uncomplicated vaginal deliveries.No history of contraceptive pills or other hormonal therapy. Ultrasound examination showed anteverted uterus of normal size, endometrium 9 mm, right ovary with simple cyst 30 mm in diameter. Bimanual pelvic examination - normal findings.
Diagnostic hysteroscopy with fractional dilation and curretage was performed.Pedunculated polypus 15 by 25 mm was detected, arising from the posterior uterine wall. It was removed and send for histology confirmation. Histology: Polypus with complex atypical hyperplasia. Patient decided for hysterectomy due to the histology result.
Categorization:
Hysteroscopy, Polypus
Attachments:
Description: Uterine cavity with the polypus in the middle.
Description: Endometrial polypus arising from the posterior uterine wall filling the uterine cavity.
Description: Uterine cavity with the stalk of the polypus. Polypus is pushed backwards so the uterine cavity is visible.
