a successful break-up
TRANSCRIPT
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Images in Gynecology www.AJOG.org
successful break-up
lka Kumar, MS; Atul Kumar, MSCASE NOTES
24-year-old woman had a 3-year history ofrimary infertility and a 1-year history of men-rrhagia. Hysteroscopic evaluation revealed aessile polyp arising from the posterior uterineavity wall (Figures 1 and 2). The polyp wasright-red compared with the relatively pale en-ometrium surrounding it. Prominent whitelandular orifices speckled its surface. Closer vi-ualization disclosed that each gland openingas surrounded by well-defined regions of in-
ense hyperemia (Figure 3). An especially de-ailed picture of the hyperemic gland openingsas provided when a Hamou Micro-Hystero-
cope II was used in the contact mode, providingmagnification at source of 80x (Figure 4).1
This structure arose from the posterior uterine cavity wall.Kumar. A successful break-up. Am J Obstet Gynecol 2007.
CONCLUSIONS
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he polyp was broken mechanically withhe cutting loop of the resectoscope.yogenic aerobic bacteria grew in a cul-
ure of the biopsy tissue after it was incu-ated for 2 days at 98.6°F (37°C). Histo-athology identified an adenomatousolyp with areas of extreme inflamma-ion. Suitable antibiotics were adminis-ered. The patient was relieved of men-rrhagia, and she spontaneouslyonceived 3 months after surgery. f
rom the Hysteroscopic Surgery Division,omen’s Health Centre, Jaipur, India.
ite this article as: Kumar A, Kumar A. A successfulreak-up. Am J Obstet Gynecol 2007;197:685.e1-85.e2.
002-9378/$32.002007 Mosby, Inc. All rights reserved.
oi: 10.1016/j.ajog.2007.09.055
EFERENCE. Kumar A, Kumar A. Microcolpohysteros-opy. J Am Assoc Gynecol Laparosc004;11:131-2.
FIGURE 2Here is a closer view of thegrowth
umar. A successful break-up. Am J Obstet Gynecol 2007.
DECEMBER 2007 America
FIGURE 3A prominent, white, glandularorifice, surrounded byhyperemia, is seen in sharpfocus in the center of theframe
umar. A successful break-up. Am J Obstet Gynecol 2007.
n Journal of Obstetrics & Gynecology 685.e1
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Images in Gynecology www.AJOG.org
685.e2 American Journal of Obstetrics & Gynecol
FIGURE 4Hyperemic gland openingswere visualized with a HamouMicro-Hysteroscope II in thecontact mode (magnification of80x)
umar. A successful break-up. Am J Obstet Gynecol 2007.
ogy DECEMBER 2007