P10.05: Spontaneous expulsion of an endometrial polyp

A 47 year old woman with a history of breast cancer at age 44, treated with surgery followed by radiotherapy and tamoxifen endocrinotherapy, presented with dysmenorrhea and menorrhagia. Transvaginal ultrasound examination showed a 35 × 27 × 38mm highly vascularised endometrial polyp with multiple vessels with focal origin (figure). Based on the symptoms and the non-reassuring ultrasound findings, the patient was booked for operative hysteroscopy. However, prior to the scheduled surgery, the patient was admitted at the emergency department with heavy bleeding and the loss of a lump of tissue. The histological examination of the lump was of sufficient quality to allow the diagnosis of a benign endometrial polyp. At follow-up after the first menses, the ultrasound examination showed a normal endometrium. Since the expulsion of the polyp, the patient did not present intermenstrual bleeding nor pain. She reported that her last menses had been significantly less heavy and not painful. Supporting information can be found in the online version of this abstract Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.