Unusual Case of Uterovesical Polyp in a Patient Following Repeated Caesarean Section

Okwudili C Amu,Ugochukwu U Nnadozie,Emmanuel A Affusim,Balantine U Eze

doi:10.24018/ejmed.2021.3.6.1049

Abstract

NE is a 36yr old petty trader who has had four previous caesarean sections. She went for her routine abdominal ultrasonography at 36weeks of her fifth pregnancy and an incidental posterior bladder polypoid mass was found with a normal singleton fetus. Patient declined cystoscopy but accepted exploration of bladder at same time with a caesarean section. At Surgery, a polyp was found arising from the lower uterine segment traversing the thin posterior bladder wall into the bladder. The polyp was carefully dissected out and separated from bladder. Bladder and uterus were repaired, and patient had uneventful recovery.

Highlights

Repeated caesarean sections in a woman carries the risk of adverse maternal outcomes
We present an unusual case of uterovesical polyp in a woman after undergoing repeated caesarean sections
Maternal complications arising from repeated caesarean sections are well known the phenomenon of a polypoid mass arising from the uterus into the bladder has not been mentioned in the literature

Summary

INTRODUCTION

Repeated caesarean sections in a woman carries the risk of adverse maternal outcomes. Complications arising from this includes dense intraperitoneal adhesions and fivefold increase in premature deliveries [1]. Repeated caesarean sections are occasionally associated with abnormalities of the placenta which may cause excessive and dangerous bleeding in late pregnancy and at the time of delivery [2]. Bladder endometriosis arising as a complication of caesarean section has been documented [4]. Uterovesical polyp probably arising as a complication of multiple caesarean section was not found in literature. We present an unusual case of uterovesical polyp in a woman after undergoing repeated caesarean sections

CASE REPORT

Histology Report

DISCUSSION