Radiological Insights into a Rare Case of a Giant Endometrial Polyp in a Perimenopausal Woman

Endometrial polyps are common benign growths of the endometrial lining, often identified during routine gynecological exams. This report describes a rare case of a large, 8 cm endometrial polyp in an asymptomatic perimenopausal woman. The initial assessment, performed via transvaginal ultrasound TVUS, revealed a well - defined echogenic mass within the uterine cavity. A pelvic MRI was performed to further evaluate the lesion, confirming its size, vascularity, and benign nature, ruling out the possibility of malignancy. This case report describes a rare occurrence of an 8 cm endometrial polyp identified in a perimenopausal woman during a routine examination. The lesion was first detected through transvaginal ultrasound TVUS, which revealed a well defined mass within the uterine cavity. A subsequent pelvic MRI confirmed the polyps size and benign nature, ruling out malignancy. The case emphasizes the importance of imaging techniques in diagnosing large endometrial polyps and guiding clinical decisions regarding management and treatment. This report contributes to the growing body of literature on the variable presentations of endometrial polyps and their diagnostic considerations. This case report aims to highlight the diagnostic process for identifying large endometrial polyps using advanced imaging techniques and discuss the clinical implications of such findings.