The patient was referred with the clinical diagnosis of endometrial polyp as it was visible at the external cervical os. Endometrial thickening with cystic areas was noted. I failed to see a fluid rim between the lesion and the endometrium favouring an intraluminal lesion, which was later pointed out to me by a colleague.

Hysterectomy and bilateral salpingo-oophorectomy were performed. Histopathology revealed an endometrial polyp without malignant changes, mild adenomyosis, chronic cervicitis, and normal ovaries and fallopian tubes.

Uterus specimen photos courtesy of the operating surgeon, Dr. Drashti R. Patel.