Endometrial polyp with feeding vessel
Abnormal uterine bleeding. Negative pregnancy test. LMP 1 week ago.
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Endovaginal grey scale and color Doppler ultrasound images reveal a focal endometrial mass with a feeding vessel (best seen on the transverse uterus Doppler image) and is compatible with an endometrial polyp. The feeding vessel indicates the stalk attachment of the polyp to the uterus.
A well circumscribed echogenic endometrial thickening with a central feeding vessel in a stalk is highly suggestive of an endometrial polyp. However, the central feeding vessel is not pathognomonic as it can occasionally be seen with atypical fibroids or endometrial carcinoma.
- submucosal fibroid
- endometrial hyperplasia
- endometrial cancer
- Jakab A, Ovári L, Juhász B et-al. Detection of feeding artery improves the ultrasound diagnosis of endometrial polyps in asymptomatic patients. Eur. J. Obstet. Gynecol. Reprod. Biol. 2005;119 (1): 103-7. doi:10.1016/j.ejogrb.2004.06.044 - Pubmed citation
- Elsayes KM, Pandya A, Platt JF et-al. Technique and diagnostic utility of saline infusion sonohysterography. Int J Gynaecol Obstet. 2009;105 (1): 5-9. doi:10.1016/j.ijgo.2008.11.017 - Pubmed citation