Placental polyp (polypus placentalis).
Placental tissue site, delayed in the uterine cavity after abortion or childbirth and undergone organization.
The placental tissue remaining in the uterine cavity with incomplete removal of the fetal egg during abortion or after childbirth with inadvertent management of the postpartum period slows the regeneration of the surrounding mucous membrane of the uterus and causes long-term unceasing bloody discharge from the genital tract. Around the placental tissue, clots of blood and fibrin are formed; over time, this tissue is partially replaced by a connective tissue.
The main clinical symptom of P. n. Is uterine bleeding. In the first days after abortion or childbirth, small bloody discharge from the genital tract is noted, after a few days they can suddenly increase and turn into abundant uterine bleeding. leading to severe Anemia. It is possible to attach a secondary infection and develop Endomiometritis a.
Occurrence of uterine bleeding a few days after abortion or childbirth is an indication for immediate hospitalization. If suspicion of P. n. Is carried out hysteroscopy and curettage of the mucous membrane of the uterus (see Scraping), during which remove P. n. After scraping perform a control hysteroscopy. Polyp is subject to mandatory histological examination, which allows you to finally confirm the diagnosis. According to the indications, antibacterial and anti-anemic therapy is carried out. The prognosis with timely provided medical care is favorable.
Prevention includes the prevention of artificial abortion, careful removal of the remains of the fetal egg from the uterine cavity with artificial or spontaneous abortion, proper management of the postpartum period (including a thorough examination of the afterbirth, manual examination of the uterine cavity if the placenta is intact.