A case of exaggerated placental site treated with hysteroscopy

Authors

  • Stefano Calzolari Regional Center of Excellence in Hysteroscopy, Palagi Hospital, Florence - Italy https://orcid.org/0000-0002-5260-6261
  • Chiara Comito Regional Center of Excellence in Hysteroscopy, Palagi Hospital, Florence - Italy https://orcid.org/0000-0003-2370-0096
  • Karin Louise Andresson Regional Center of Excellence in Hysteroscopy, Palagi Hospital, Florence - Italy
  • Giovanna Giarrè Regional Center of Excellence in Hysteroscopy, Palagi Hospital, Florence - Italy https://orcid.org/0009-0004-0730-6317
  • Gianluigi Taddei Department of Pathology, University of Florence, Florence - Italy
  • Valeria Dubini Regional Center of Excellence in Hysteroscopy, Palagi Hospital, Florence - Italy

DOI:

https://doi.org/10.33393/ao.2024.2611

Keywords:

Fertility, Hysteroscopy, Miscarriage, Trophoblast

Abstract

Exaggerated placental site (EPS) is a benign lesion that can occur in association with term pregnancy, ectopic pregnancy, molar pregnancy, intrauterine fetal death or miscarriage. The characteristics of EPS are described in several case reports and have been reported after major surgery such as hysterectomy. We describe the hysteroscopic characteristic of EPS associated with a spontaneous miscarriage. Hysteroscopic inspection of the uterine cavity revealed copious tissue with increased vascularization without signs of invasion. No cleavage was visualized between material and myometrium could be established during the resection procedure. 40 days after hysteroscopy the patient became pregnant. The pregnancy proceeded without complications and during the cesarean section no residual placenta-related abnormal site appearance was noted on inspection of the uterine wall. The hysteroscopic treatment could be considered feasible to preserve future fertility in young women in cases of suspect non-malignant trophoblastic disease.

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Author Biography

Valeria Dubini, Regional Center of Excellence in Hysteroscopy, Palagi Hospital, Florence - Italy

 

   

References

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Published

2024-01-11

How to Cite

Calzolari, S., Comito, C., Andresson, K. L., Giarrè, G., Taddei, G., & Dubini, V. (2024). A case of exaggerated placental site treated with hysteroscopy. AboutOpen, 11(1), 1–3. https://doi.org/10.33393/ao.2024.2611

Issue

Section

Case report

Categories

Received 2023-05-30
Accepted 2023-12-13
Published 2024-01-11