Laparoscopic Resection of Large Endo-Cervical Polyp Through Posterior Colpotomy as an Alternative Access to Vagina in Virgin Patients

Abstract

Endometrial polyps have been involved in about 50% of patients with abnormal uterine bleeding and 35% of infertile patients. Management of pedunculated endocervical myoma or polyp normally requires intervention via the vaginal route. Laparoscopy provides safe alternative in patients demanding hymenal integrity. A 28-year-old, nulliparous virgin woman who presented with anemia secondary to heavy menstrual bleeding for five years. Pelvic ultrasound and MRI showed a 3.2 x 2.4 cm mass at the upper vagina it concluded that the mass likely to be pedunculated uterine fibroid, other differential diagnosis including endometrial polyp. Due to the patient’s consistent desire for preserving hymenal integrity, laparoscopic posterior colpotomy was performed and the mass was removed successfully.