Conservative Management of Huge Symptomatic Endocervical Polyp in Pregnancy: A Case Report

Sameer Hamadeh, Bishr Addas, Nasreen Hamadeh, Jessica Rahman

Abstract

Cervical polyp is very rare in pregnancy, usually asymptomatic and small. There are several reports of different sizes of cervical polyp in pregnancy but, huge cervical polyp causing funnelling and shortening of cervical length was first reported in 2014. It was managed by polypectomy causing cervical length to return to normal value. We present the second case report in literature of a huge endocervical polyp in pregnancy that caused funnelling and shortening of cervical length. Unlike the earlier report this patient presented with preterm contractions and antepartum haemorrhage (APH). She was managed conservatively by polypectomy at 38 weeks of gestation without complications. This is the first case report in the literature of a huge symptomatic endocervical polyp in pregnancy presenting with preterm contractions and APH that was conservatively managed. The role of such management has been emphasized. (Afr J Reprod Health 2018; 22[2]: 88-90).

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References

Panayotidis C and Cilly L. Cervical polypectomy during

pregnancy: The gynaecological perspective. Journal of Genital System & Disorders, 2013;2:2.

Kirbas A, Biberoglu E, Timur H, Uygur D and Danisman

N. Pregnancy complicated with a giant endocervical polyp. Case report. Turkiye Klinikleri Journal of Gynecolo and Obst. 2014; 4223.

Aridogen N, Cetin T, Kadayifei O, Atay Y and Bisak U.

Giant cervical polyp due to foreign body in virgin. Aust N Z L Obstet Gynecol. 1988; 28:146-7.

Danakas GT. Cervical polyps. In: Ferri FF. Ferriā€™s

Clinical advisor. Instant diagnosis & Treatment. St. Louis: Mosby Inc, 2003:195.

Simavli S and Kinay T. Giant cervical polyp; A case

report & review of the literature. Turkiye Klinikleri Journal of Gynecolo and Obst. 2013; 23(2): 119-22.

Tang H and Jones I. An Intrapartum giant cervical polyp.

NZMJ 2004;117:1206.

Panayotidis C and Alhuwaila. A. Cervical polypectomy

during pregnancy: Is there any management advances on the last decade? Int J Gynecol Obstet .2005, 5:1.

Robertson M, Scott P, Elwood DA and Low S.

Endocervical polyp in pregnancy: gray scale and color doppler images and essential consideration in pregnancy. Ultrasound Obstet Gynecol 2005;26:583-584.

Israel SL. A study of cervical polyps. Am J Obstet

Gynecol 1940;39:45-50.

Golden A, Ber A, Wolman I and David MP. Cervical

polyp: Evaluation of current treatment. Gynecol Obstet Invest 1994; 37:56-58.

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