Postpartum hypervascular placental polyp

Abstract

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.