Presentation
Vaginal protruding. Ultrasound to rule out uterine prolapse or prolapsed fibroid.
Patient Data
A spherical-shaped, predominantly hypo to heterogenous solid lesion measuring 3.98 x 2.05 cm in size, with a tapered proximal end, and a lobulated distal portion, occupies the cervical canal right from the internal to the external ostia. The aforementioned cervical lesion is visibly supplied with a vascular stalk.
Proximally, an intact intrauterine single gestational sac with a viable single fetal nodule and a yolk sac is demonstrated. A small-sized (1.43 x 0.88 cm in size) simple anechoic and posteriorly enhancing cystic lesion (nabothian) abuts the posterior wall of the cervical lip extrinsically.
Case Discussion
Polypoidal hetero-hypoechoic uterocervical structure supplied with a vascular stalk on color flow Doppler imaging, coexisting with a viable early singleton intrauterine pregnancy at 8 weeks 0 days gestational maturity by crown-rump length. A coexisting simple unilocular cyst overlying the posterior cervical lip wall region is incidental.
Such hypoechoic to near anechoic in reflectivity cervical polyps and associated polypoidal cervical structures may masquerade as cervical incompetence (funneling), either on transabdominal or endocavitary imaging, and should be keenly assessed for exclusion of the latter.
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