Title: A hypervascular placental polyp after completed abortion: A case report
Version: 2 Date: 01 Sep 2023
Reviewer:  Nora Sabah Rasoul
Reviewer's report:
Name: Dr. Nora Sabah Rasoul
Dear author
I read with great interest the manuscript which falls within the aim of the journal, it shows a lot
of promise but I have some issues need to be addressed before it can be published.
1- Line No. 3 regarding the title why you choose late presenting it is not very late it is just 6weeks
the late presentation occurs following months or years. Please read this article:
*Baer B.F. Placental Polypus which simulated malignant disease of the uterus. Phila. Med.
Times. 1884;15:175.
For the title I suggest to be ”A hypervascular placental polyp after complete abortion: A case
report”
In figure one the uterus is not empty and it shows the possibility of RPOC, and by itself it is
a probable factor to the development of placental polyp. Please read this article which have a
concept of relationship between RPOC and placental polyp.
*Shiina Y. Overview of Neo-Vascular Lesions after Delivery or Miscarriage. J Clin Med. 2021
Mar 5;10(5):1084. doi: 10.3390/jcm10051084. PMID: 33807766; PMCID: PMC7961487.
2- Line No.33 the statement “completed medication abortion” please change it to “a medication
abortion which was complete”, and please change it throughout the manuscript.
3- The case presentation in the abstract needs more details.
4- Line No. 43 please add abortion to the keywords.
5- Line no. 50 placental polyp is a polypoidal endometrial masses please redefine it as it is not
endometrial in origin. Please change it throughout the manuscript.
6- Throughout the manuscript please change the position of the number of references it should
be at the end of the statement before the dot not after it.
7- Line 63 please change completed abortion to complete abortion.
8- Line 67 in case presentation you mention G4P2012 while in the abstract was G4P2022 which
is true?
9- Line 67 in case presentation please add the name of the hospital and in which country.
10- Line No. 68 throughout the manuscript please write two dimensional ultrasound,
transvaginal or abdominal.
11- Line 69 in case presentation you mention that the patient had no history of pregnancy
complication while she had history of two miscarriages G4P2022.
12- Line No.75 Figure one shows the possibility of RPOC, please explain that it is not an empty
uterus. I need a comment of radiologists for Fig. one and two.
13-Line No.78 what do you mean by outside emergency department?
14- Line No.88 please can you explain the exact procedure you use to remove the polyp, why
you write electric vacuum dilation and curettage? There is electric vacuum aspiration.
15- Line No. 91 I would recommend to add Fig. shows the histopathology of the polyp.
16- Line No. 93 you mention ‘’ this confirmed the suspected diagnosis of placental polyp”. I
don’t think you put it from the start as one of the differential diagnosis as you explain in the
discussion later.
17- Line No. 105 “treatments have been reported. Most” please change the dot before most into
comma.
18- Line No. 111 CT please write the full name, and add it to the abbreviation list.
19- Line No. 140 please add the word “patient” before presented at the end of the line.
20- Please the abbreviation list should be in an alphabetical manner.
21- Regarding the figures please add details to the explanation below each one.
22- Please write in the manuscript two dimensional ultrasound followed by the abbreviation so
you can write the abbreviation below the figures and add it to the abbreviation list.