Placental polyp

placental polyp photoPlacental polyp - polyp in the uterine cavity formed by the organization, to the rear part of the placental tissue after abortion or childbirth. Placental polyp is on a thin stem or on a broad basis.
The clinical picture. 2 weeks after the abortion or childbirth bleeding occurs, which at first may be scarce (later postpartum hemorrhage). Formed placental polyp on 4-5 weeks after childbirth gives heavy bleeding, causing a sharp anemia in women.
Prevention: proper conduct a series of period (see), a thorough inspection of the placenta after birth with the examination of uterine cavity in case of doubt as to the integrity of the placenta.
Treatment. When bleeding, which may not be considered as menstrual immediately refer the woman to the hospital, where the doctor decides about the operation scraping mucous membrane of the uterus, always with histological examination of a scraping.

Placental polyp (polypus placentarius) - polyp in the uterine cavity formed after birth or miscarriage in case of delay piece of placental tissue with subsequent organization. Delay placental tissue may occur at the extension segment of the placenta, and when improper conduct of succession period. Placental polyps can develop after miscarriages both artificial and spontaneous, often after an early miscarriage, to complete the formation of the placenta, when can stick to the pieces branched chorion. Microscopic examination in the Central part of the PP are usually placental tissue. Part of the villi can be preserved syncytial cover. In other places villi "baked", surrounded by fibrin, nekrotizirovanne, deprived syncytial cover; stroma their yalnizyan ("shadows of the villi").
Clinical course. Stranded pieces of the placenta can give the second week late postpartum hemorrhage. Often these have bleeding due to irregular and late involution placental site. Formed placental polyp gives bleeding usually later on 4-5 weeks after delivery. Bleeding when p.p. are severe, often require urgent hospitalization and cause severe anemia in women.
After a miscarriage at the rear, the piece of chorion spotting continues for longer than usual, then become scarce, sometimes for a few days stop, but then again appear, and usually 3-4 weeks there comes a more severe bleeding that makes you sick again to go to the doctor.
Diagnosis of placental polyp would presumably be raised in cases where 3-4 weeks or more after delivery there bleeding. Bimanual examination is often determined gaping uterine cervix. Through the cervical canal of the uterus fails to probe polyp; at larger sizes of its lower pole can even hang from the throat.
Treatment of placental polyp in the case of undisputed diagnosis should be active: polyp, if the lower part is in the cervical canal, you must remove the forceps with subsequent curettage of the uterine body or finger branch of the p.p. from the uterine wall. The same shows and heavy bleeding. At moderate bleeding and only a presumptive diagnosis at the beginning should be tried medication and only the ineffectiveness must be scraping (see). When complications PP septic infection, surgery is connected with the threat of generalization of infection; therefore, you first need to fight infection and proceed to remove the polyp in the case of undisputed his diagnosis (palpation of the polyp through the cervical canal) or life-threatening bleeding. The polyp is better to remove forceps and refrain from scraping due to the risk of sepsis.
After surgical removal of the placenta polyp the diagnosis should be confirmed by histological examination of a scraping; it is also important to exclude the presence of horionepitelioma (see).
Prevention: proper conduct of succession stage of labor in physiological course; a thorough examination of the placenta after birth with the examination of uterine cavity in case of doubt, the history of the placenta.