Presentation
Perimenopausal women presenting with abnormal heavy, irregular, painful menstrual bleeding for the last several months.
Patient Data
Prominent single feeding artery to the echogenic endometrial polyp seen on Color Doppler. A left anechoic ovarian cyst is also seen. Incidentally, a pelvic vessel, showing waveforms akin to the internal iliac artery, was prominent near the body of the uterus.
Case Discussion
An endometrial polyp is a benign nodular protrusion of the endometrial surface into the uterine cavity. Polyp consists of irregularly distributed endometrial glands and stroma. Polyps commonly present as abnormal uterine bleeding, and ultrasound is commonly the first investigation for their evaluation 1.
Diagnosis can be challenging and even overlooked on transabdominal scans using grayscale imaging. However, the pedicle artery sign or single feeding artery sign using Color Doppler can be a good guide to diagnosis. Sonohysterography could be a good diagnostic technique 2.
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