RESUMO
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.
Assuntos
Colo do Útero/patologia , Pólipos/diagnóstico por imagem , Doenças do Colo do Útero/diagnóstico por imagem , Adulto , Colo do Útero/diagnóstico por imagem , Tratamento Conservador , Feminino , Hemorragia/diagnóstico por imagem , Hemorragia/etiologia , Humanos , Pólipos/complicações , Pólipos/cirurgia , Gravidez , Complicações na Gravidez , Resultado da Gravidez , Resultado do Tratamento , Doenças do Colo do Útero/complicaçõesRESUMO
A case of spontaneous hemoperitoneum resulting from ruptured vessels in the uterine-ovarian plexus, in the third trimester of pregnancy is described. This is a rare and challenging obstetric emergency. Acute abdominal pain is the main presenting symptom. Clinical suspicion and rapid intervention consisting of emergency cesarean section with ligation of bleeding vessels resulted in favorable outcomes for both mother and baby. The importance of prompt action in the case of deteriorating vital signs is emphasized to achieve success in their management.