A Rare Case of a Hypervascular Placental Polyp Leading to Massive Postpartum Hemorrhage Requiring Hysterectomy
A placental polyp is a retained fragment of placental tissue that can lead to postpartum hemorrhage or become a nidus for infection. Hypervascular placental polyps can pose an increased risk of life-threatening postpartum hemorrhage requiring immediate intervention. Thus, prompt recognition and appr...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/crog/4120029 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849422429881892864 |
|---|---|
| author | Samantha Kegel Meena Dhir Karina Hew Chanda Reese Gregory Lewis |
| author_facet | Samantha Kegel Meena Dhir Karina Hew Chanda Reese Gregory Lewis |
| author_sort | Samantha Kegel |
| collection | DOAJ |
| description | A placental polyp is a retained fragment of placental tissue that can lead to postpartum hemorrhage or become a nidus for infection. Hypervascular placental polyps can pose an increased risk of life-threatening postpartum hemorrhage requiring immediate intervention. Thus, prompt recognition and appropriate management are crucial in preventing maternal morbidity and mortality. Here, we present the case of a 29-year-old patient who had a spontaneous vaginal delivery at 36-week gestation after induction of labor due to pre-eclampsia with severe features. Quantitative blood loss at delivery was 1300 mL, and the patient received uterotonic medications. Due to continued bleeding, she underwent a suction curettage with clots and retained tissue removed from the uterine fundus. The total blood loss was estimated to be 4 L, and the massive transfusion protocol was activated. On postpartum Day 1, she underwent a bilateral uterine artery embolization; however, she developed further heavy vaginal bleeding. A second suction curettage was performed after ultrasound showed hypervascular material in the uterine cavity. The patient was subsequently discharged, but represented on postpartum Day 15 with increased bleeding. Imaging again demonstrated a hypervascular intrauterine polypoid mass. The patient desired definitive management and underwent a minimally invasive total hysterectomy. |
| format | Article |
| id | doaj-art-4cc5c18e7bf34b199ceb72f335ae99fa |
| institution | Kabale University |
| issn | 2090-6692 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-4cc5c18e7bf34b199ceb72f335ae99fa2025-08-20T03:31:06ZengWileyCase Reports in Obstetrics and Gynecology2090-66922025-01-01202510.1155/crog/4120029A Rare Case of a Hypervascular Placental Polyp Leading to Massive Postpartum Hemorrhage Requiring HysterectomySamantha Kegel0Meena Dhir1Karina Hew2Chanda Reese3Gregory Lewis4Department of Obstetrics and GynecologyMercer University School of MedicineDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyA placental polyp is a retained fragment of placental tissue that can lead to postpartum hemorrhage or become a nidus for infection. Hypervascular placental polyps can pose an increased risk of life-threatening postpartum hemorrhage requiring immediate intervention. Thus, prompt recognition and appropriate management are crucial in preventing maternal morbidity and mortality. Here, we present the case of a 29-year-old patient who had a spontaneous vaginal delivery at 36-week gestation after induction of labor due to pre-eclampsia with severe features. Quantitative blood loss at delivery was 1300 mL, and the patient received uterotonic medications. Due to continued bleeding, she underwent a suction curettage with clots and retained tissue removed from the uterine fundus. The total blood loss was estimated to be 4 L, and the massive transfusion protocol was activated. On postpartum Day 1, she underwent a bilateral uterine artery embolization; however, she developed further heavy vaginal bleeding. A second suction curettage was performed after ultrasound showed hypervascular material in the uterine cavity. The patient was subsequently discharged, but represented on postpartum Day 15 with increased bleeding. Imaging again demonstrated a hypervascular intrauterine polypoid mass. The patient desired definitive management and underwent a minimally invasive total hysterectomy.http://dx.doi.org/10.1155/crog/4120029 |
| spellingShingle | Samantha Kegel Meena Dhir Karina Hew Chanda Reese Gregory Lewis A Rare Case of a Hypervascular Placental Polyp Leading to Massive Postpartum Hemorrhage Requiring Hysterectomy Case Reports in Obstetrics and Gynecology |
| title | A Rare Case of a Hypervascular Placental Polyp Leading to Massive Postpartum Hemorrhage Requiring Hysterectomy |
| title_full | A Rare Case of a Hypervascular Placental Polyp Leading to Massive Postpartum Hemorrhage Requiring Hysterectomy |
| title_fullStr | A Rare Case of a Hypervascular Placental Polyp Leading to Massive Postpartum Hemorrhage Requiring Hysterectomy |
| title_full_unstemmed | A Rare Case of a Hypervascular Placental Polyp Leading to Massive Postpartum Hemorrhage Requiring Hysterectomy |
| title_short | A Rare Case of a Hypervascular Placental Polyp Leading to Massive Postpartum Hemorrhage Requiring Hysterectomy |
| title_sort | rare case of a hypervascular placental polyp leading to massive postpartum hemorrhage requiring hysterectomy |
| url | http://dx.doi.org/10.1155/crog/4120029 |
| work_keys_str_mv | AT samanthakegel ararecaseofahypervascularplacentalpolypleadingtomassivepostpartumhemorrhagerequiringhysterectomy AT meenadhir ararecaseofahypervascularplacentalpolypleadingtomassivepostpartumhemorrhagerequiringhysterectomy AT karinahew ararecaseofahypervascularplacentalpolypleadingtomassivepostpartumhemorrhagerequiringhysterectomy AT chandareese ararecaseofahypervascularplacentalpolypleadingtomassivepostpartumhemorrhagerequiringhysterectomy AT gregorylewis ararecaseofahypervascularplacentalpolypleadingtomassivepostpartumhemorrhagerequiringhysterectomy AT samanthakegel rarecaseofahypervascularplacentalpolypleadingtomassivepostpartumhemorrhagerequiringhysterectomy AT meenadhir rarecaseofahypervascularplacentalpolypleadingtomassivepostpartumhemorrhagerequiringhysterectomy AT karinahew rarecaseofahypervascularplacentalpolypleadingtomassivepostpartumhemorrhagerequiringhysterectomy AT chandareese rarecaseofahypervascularplacentalpolypleadingtomassivepostpartumhemorrhagerequiringhysterectomy AT gregorylewis rarecaseofahypervascularplacentalpolypleadingtomassivepostpartumhemorrhagerequiringhysterectomy |