Vaginal Expulsion of a Placental Polyp With Ergometrine（症例報告）

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  • Wada-Hiraike Osamu
    Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo
  • Nakamura Hisaki
    Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo
  • Tang Xiaohui
    Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo
  • Takechi Kimihiro
    Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo
  • Hirata Tetsuya
    Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo
  • Koga Kawori
    Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo
  • Yoshino Osamu
    Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo
  • Fujimoto Akihisa
    Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo
  • Hiroi Hisahiko
    Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo
  • Osuga Yutaka
    Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo
  • Yano Tetsu
    Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo
  • Taketani Yuji
    Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo

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タイトル別名
  • Vaginal Expulsion of a Placental Polyp With Ergometrine

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Placental polyps are thought to be derived from placental remnants after conception. Placental polyps are managed primarily by surgery, including hysterectomy and hysteroscopic resection. There is no specific recommendation regarding the optimal treatment to preserve fecundity. A 27-year-old primigravida presented at 38 weeks gestation and underwent a vaginal delivery. This delivery was complicated by massive hemorrhage due to uterine atony. Four weeks later the patient had a vaginal expulsion of a placental polyp after oral administration of ergometrine. A conservative surgical treatment under general anesthesia involved manual excision of the polyp and hysteroscopic hemostasis. Placental polyps are rare entities encountered in obstetric care; however, postpartum hemorrhage can be associated with this pathologic condition. Uterine stimulants and hysteroscopy may be useful for preserving fertility.

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