{"id":508,"date":"2025-01-07T16:32:37","date_gmt":"2025-01-07T15:32:37","guid":{"rendered":"https:\/\/gyne.de\/?p=508"},"modified":"2025-01-07T16:32:37","modified_gmt":"2025-01-07T15:32:37","slug":"ueber-den-polypen-und-andere-kleinigkeiten","status":"publish","type":"post","link":"https:\/\/gyne.de\/ueber-den-polypen-und-andere-kleinigkeiten\/","title":{"rendered":"\u00dcber den Polypen und andere Kleinigkeiten"},"content":{"rendered":"\n<p>Eine 41-j\u00e4hrige Patientin (Gravida IV, Z. n. zwei Sectiones) wurde auf Grund eines Zervixpolypen sowie des okkulten Rests eines intrauterinen Pessars (IUP) \u00fcberwiesen.<br>Bei der Untersuchung war die Raumforderung innerhalb des Zervixkanals sehr gut sichtbar (Abb.\u00a01) sowie duplexsonografisch (Abb. 2, 3) und 3D-sonografisch (Abb. 4) darstellbar.<\/p>\n\n\n<div class=\"gb-container gb-container-32ae875f\">\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" width=\"1024\" height=\"977\" src=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-01_WS-1-1024x977.jpg\" alt=\"\" class=\"wp-image-510\" style=\"width:auto;height:300px\" srcset=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-01_WS-1-1024x977.jpg 1024w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-01_WS-1-300x286.jpg 300w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-01_WS-1-768x733.jpg 768w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-01_WS-1.jpg 1197w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Abb. 1<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"339\" height=\"304\" src=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-02.jpg\" alt=\"\" class=\"wp-image-511\" style=\"width:auto;height:300px\" srcset=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-02.jpg 339w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-02-300x269.jpg 300w\" sizes=\"(max-width: 339px) 100vw, 339px\" \/><\/figure>\n\n\n\n<p>Abb. 2<\/p>\n<\/div>\n<\/div>\n\n<\/div>\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-2 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"gb-container gb-container-28452243\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"328\" height=\"275\" src=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-03.jpg\" alt=\"\" class=\"wp-image-514\" style=\"width:auto;height:300px\" srcset=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-03.jpg 328w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-03-300x252.jpg 300w\" sizes=\"(max-width: 328px) 100vw, 328px\" \/><\/figure>\n\n\n\n<p>Abb. 3<\/p>\n\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"gb-container gb-container-4165389c\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"399\" height=\"386\" src=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-04.jpg\" alt=\"\" class=\"wp-image-515\" style=\"width:auto;height:300px\" srcset=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-04.jpg 399w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-04-300x290.jpg 300w\" sizes=\"(max-width: 399px) 100vw, 399px\" \/><\/figure>\n\n\n\n<p>Abb. 4<\/p>\n\n<\/div><\/div>\n<\/div>\n\n\n\n<p>Im oberen Bereich des Cavums waren \u00dcberreste des IUPs erkennbar (Abb. 5), bei weiterem Untersuchungsverlauf waren diese etwas oberhalb des innen Muttermundes zu sehen (Abb. 6\u20138).<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-3 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"gb-block-image gb-block-image-f19d66de\"><img decoding=\"async\" width=\"365\" height=\"312\" class=\"gb-image gb-image-f19d66de\" src=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-05.jpg\" alt=\"\" title=\"Bild 05\" srcset=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-05.jpg 365w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-05-300x256.jpg 300w\" sizes=\"(max-width: 365px) 100vw, 365px\" \/><\/figure>\n\n\n\n<p>Abb. 5<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"gb-block-image gb-block-image-77f52398\"><img decoding=\"async\" width=\"356\" height=\"321\" class=\"gb-image gb-image-77f52398\" src=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-06.jpg\" alt=\"\" title=\"Bild 06\" srcset=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-06.jpg 356w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-06-300x271.jpg 300w\" sizes=\"(max-width: 356px) 100vw, 356px\" \/><\/figure>\n\n\n\n<p>Abb. 6<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-4 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"350\" height=\"319\" src=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-07.jpg\" alt=\"\" class=\"wp-image-522\" style=\"width:auto;height:300px\" srcset=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-07.jpg 350w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-07-300x273.jpg 300w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/figure>\n\n\n\n<p>Abb. 7<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"362\" height=\"357\" src=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-08.jpg\" alt=\"\" class=\"wp-image-523\" style=\"width:auto;height:300px\" srcset=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-08.jpg 362w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-08-300x296.jpg 300w\" sizes=\"(max-width: 362px) 100vw, 362px\" \/><\/figure>\n\n\n\n<p>Abb. 8<\/p>\n<\/div>\n<\/div>\n\n\n\n<p>Die Patientin wurde \u00fcber die Befunde der Untersuchung und die notwendige Operation aufgekl\u00e4rt. Bez\u00fcglich der \u00dcberreste des IUPs \u00e4u\u00dferte sie starke \u00c4ngste, dass diese innerhalb des Bauchraums noch wandern k\u00f6nnten. Aufgrund dessen gestaltete sich die Aufkl\u00e4rung der Patientin \u00e4u\u00dferst schwierig.<\/p>\n\n\n\n<p>W\u00e4hrend der zeitnahen Operation wurde der Polyp elektrisch (Abb. 9) in toto (Abb. 10) entfernt. Im Anschluss konnten die Einzelteile des gebrochenen IUPs in m\u00fchevoller Kleinarbeit entfernt werden (Abb. 11).<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-5 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"gb-container gb-container-\">\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" width=\"1024\" height=\"886\" src=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-09_WS-1024x886.jpg\" alt=\"\" class=\"wp-image-525\" style=\"width:auto;height:300px\" srcset=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-09_WS-1024x886.jpg 1024w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-09_WS-300x259.jpg 300w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-09_WS-768x664.jpg 768w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-09_WS.jpg 1294w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Abb. 9<\/p>\n\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"gb-container gb-container-c2884167\">\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" width=\"1024\" height=\"922\" src=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-10_WS-1024x922.jpg\" alt=\"\" class=\"wp-image-526\" style=\"width:auto;height:300px\" srcset=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-10_WS-1024x922.jpg 1024w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-10_WS-300x270.jpg 300w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-10_WS-768x691.jpg 768w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-10_WS.jpg 1203w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Abb. 10<\/p>\n\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"gb-container gb-container-e28ad20d\">\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"965\" height=\"851\" src=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-11_WS.jpg\" alt=\"\" class=\"wp-image-527\" style=\"width:auto;height:300px\" srcset=\"https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-11_WS.jpg 965w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-11_WS-300x265.jpg 300w, https:\/\/gyne.de\/wp-content\/uploads\/sites\/2\/2025\/01\/Bild-11_WS-768x677.jpg 768w\" sizes=\"(max-width: 965px) 100vw, 965px\" \/><\/figure>\n\n\n\n<p>Abb. 11<\/p>\n\n<\/div><\/div>\n<\/div>\n\n\n\n<p>Die pathologische Untersuchung ergab eine polypoide Retentionszyste, sonst keine weiteren Auff\u00e4lligkeiten. Bei der postoperativen Untersuchung konnte die Patientin bez\u00fcglich ihrer Bedenken beruhigt werden, indem ihr die einzelnen Teile des entfernten IUPs gezeigt wurden.<\/p>\n\n\n\n<p><strong>Korrespondenzadresse:<\/strong><br>Dr. med. Nasser Zahedi<br>Facharzt f\u00fcr Frauenheilkunde und Geburtshilfe<br>Hardenbergstra\u00dfe 60<br>51373 Leverkusen<br>Tel.: +49 (0)214-64 131<br>Fax: +49 (0)214-61 90<br>drnzahedi@yahoo.de<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fallbeispiel &#8222;\u00dcber den Polypen und andere Kleinigkeiten&#8220;<\/p>\n","protected":false},"author":3,"featured_media":379,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[63,88,87],"class_list":["post-508","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-allgemein","tag-fallbeispiel","tag-iup","tag-polyp"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u00dcber den Polypen und andere Kleinigkeiten | Gyne<\/title>\n<meta name=\"description\" content=\"Eine 41-j\u00e4hrige Patientin wurde auf Grund eines 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