Belgin SELAM, Nuri DANIŞMAN, Süheyla EKEMEN, Ceyda BİRCAN

TERM DOĞUMLA SONUÇLANAN GEBELIKTE ERKEN DÖNEMDE İZLENEN ENDOMETRIAL POLIP

Endometrial polipler erken gebelikte ultrasonografi ile tespit edilebilir. Bu gebeliklerin fetal kayıpla sonuçlanabileceği düşünülmektedir. Endometrial polip izlenen gebeliklerde term doğumla ilgili literatürde yeterli veri bulunmamaktadır. Vaka sunumumuz, erken dönemde gebelikte izlenen endometrial poliple ilgilidir. Fetal büyüme, polipin gerilemesi, plasenta patolojisinin değerlendirilmesi ve doğum sonrası takip ile gebeliğin seyrini ayrıntılı olarak ele almaktadır. 31 yaşındaki primigravid hastada transvajinal ultrasonografi ile gestasyonel keseye bitişik uterus kavitesine uzanan dev endometrial polip tespit edildi. Hasta, termde sağlıklı bir bebek doğurdu ve polip gebeliğin sonuna kadar tamamen geriledi. Erken gebelikte tespit edilen polipler, fetüs kaybı veya plasentada yetmezlik bulguları olmadan gerileyebilir. Bu gebeliklerde doğum öncesi yakın takip önerilir

Endometrial Polyp In Early Pregnancy Ending With Term Labor

Endometrial polyps may be detected by transvaginal ultrasonography TVS in early pregnancy. These pregnancies may end with fetal demise. There are not enough data in literature defining term labor in pregnancy with endometrial polyp. The current case describes in detail, the progress of a pregnancy with endometrial polyp including fetal growth, regression of polyp, assessment of placental pathology and postpartum follow-up. Giant endometrial polyp protruding into the uterine cavity adjacent to the gestational sac was detected by TVS in a 31 year-old-primigravida. She delivered a healthy baby and the polyp regressed completely by the end of the pregnancy. Polyps detected in early pregnancy may regress without any effect on the fetal demise or placental insufficiency. Close antenatal follow-up is advised for the prognosis of these pregnancies

Keywords:

Endometrial polyp, pregnancy, TVS,

PDF

___

Tanos V, Berry KE, Seikkula J, Abi Raad E, Stavroulis A, Sleiman Z, et al. The management of polyps in female reproductive organs. Int J Surg 2017;43:7–16. [CrossRef]

Pérez-Medina T, Bajo-Arenas J, Salazar F, Redondo T, Sanfrutos L, Alvarez P, Engels V. Endometrial polyps and their implication in the pregnancy rates of patients undergoing intrauterine insemination: a prospective, randomized study. Hum Reprod 2005;20:1632–35. [CrossRef]

Afifi K, Anand S, Nallapeta S, Gelbaya TA. Management of endometrial polyps in subfertile women: a systematic review. Eur J Obstet Gynecol Reprod Biol 2010;151:117–21. [CrossRef]

Memtsa M, Jauniaux E, Wong M, Jurkovic D. Ultrasound diagnosis of endometrial polyps in pregnancy. Ultrasound Obstet Gynecol 2018;52:548–9. [CrossRef]

Yanaihara A, Yorimitsu T, Motoyama H, Iwasaki S, Kawamura T. Location of endometrial polyp and pregnancy rate in infertility patients. Fertil Steril 2008;90:180–82. [CrossRef]

Lieng M, Istre O, Sandvik L, Qvigstad E. Prevalence, 1-year regression rate, and clinical significance of asymptomatic endometrial polyps: cross-sectional study. J Minim Invasive Gynecol 2009;16:465–71. [CrossRef]

DeWaay DJ, Syrop CH, Nygaard IE, Davis WA, Van Voorhis BJ. Natural history of uterine polyps and leiomyomata. Obstet Gynecol 2002;100:3–7. [CrossRef]