Abstract
The commonest pathologic diagnosis of large prolapsed polyps is leiomyoma. Benign or malignant adenomyomatous polyps follow. Adenomyotic cyst is a rare form of adenomyosis. To our knowledge, a recurrent prolapsed giant uterine polyp comprised of adenomyotic cysts and with different pathogenesis from the original polyp has not been reported in the literature. This case report describes a 29 year old woman with meno/metrrorrhagia, who was found to have a large recurrent uterine polyp prolapsed into the vagina at two and a half years after removal of an initial large uterine polyp. The initial polyp was a large uterine leiomyoma protruding through cervix. The recurrent giant polyp was comprised of adenomyotic cysts. Thus, this case report demonstrates that a prolapsed giant polyp of the uterine corpus can be caused by enlarged adenomyotic cysts inside the polyp. The pathogenesis of a recurrent uterine polyp may be different from that of the initial polyp.
Highlights
Large cervical or uterine prolapsed polyps are rare [1,2]
A recurrent prolapsed giant uterine polyp comprised of adenomyotic cysts and with different pathogenesis from the original polyp has not been reported in the literature
This case report describes a 29 year old woman with meno/metrrorrhagia, who was found to have a large recurrent uterine polyp prolapsed into the vagina at two and a half years after removal of an initial large uterine polyp
Summary
Large cervical or uterine prolapsed polyps are rare [1,2]. Radiological and clinical examinations can help with distinguishing cervical polyps from the polyps of uterine corpus. Giant polyps of uterine corpus include fibroid polyp, uncommonly adenomyomatous polyp, mixed Müllerian tumor, adenomyosarcoma etc. A giant uterine polyp caused by adenomyotic cysts prolapsed into the vagina has not been reported in the literature while it can be associated with dysmenorrheal [3,4,5]
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