Combined clinical and ultrasonographic work-up for the diagnosis of retained products of conception

Wolman, Igal; Altman, Eran; Faith, Gidi; Har‐Toov, J.; Amster, R.; Gull, I.; Jaffa, Ariel J.

doi:10.1016/j.fertnstert.2009.01.087

Cited by 24 publications

(12 citation statements)

References 7 publications

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“…reported overall sensitivity and specificity of transvaginal sonographic examination (bilayer endometrial thickness 8 mm or less) for diagnosis of incomplete abortion as 100% and 80%, respectively . However, this finding has not been confirmed by other authors . Tzeng et al .…”

Section: Discussionmentioning

confidence: 85%

“…Various investigators have studied the sensitivity and specificity of ultrasonographic markers, such as heterogeneity of the endometrium, endometrial thickness and endometrial volume, in the diagnosis of RPOC based on the histopathologic evaluation of the specimen obtained by re‐evacuation of the endometrial cavity . Wong et al .…”

Section: Discussionmentioning

confidence: 99%

“…The majority of authors have suggested that TVUS should be supported with symptoms before proceeding to a treatment plan. Although the diagnostic value of ultrasonographic evaluation is based on previous studies, these studies could well be criticized for their study design . Most of them were retrospective studies, carried out only on symptomatic patients.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Is ultrasonographic evaluation essential for diagnosis of retained products of conception after surgical abortion?

Tohma

Dilbaz

Evliyaoğlu

et al. 2016

J of Obstet and Gynaecol

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Is ultrasonographic evaluation essential for diagnosis of retained products of conception after surgical abortion?

Tohma

Dilbaz

Evliyaoğlu

et al. 2016

J of Obstet and Gynaecol

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show abstract

“…Retained products of conception is one of the most common reasons for readmission postpartum [ 2 ]. RPOC may be found after 1% of term pregnancies [ 3 ]. In one study, the median period from delivery to presentation was 11 days [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Retained Products of Conception: An Atypical Presentation Diagnosed Immediately with Bedside Emergency Ultrasound

Adkins

Minardi

Setzer

et al. 2016

Case Reports in Emergency Medicine

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Background. Retained products of conception is an important diagnosis to consider in patients presenting with postpartum complaints. Bedside ultrasound is a rapid, accurate, noninvasive modality to evaluate these patients. Objective. To report an atypical case of retained products of conception diagnosed with bedside ultrasound in the emergency department. Case Report. A 27-year-old female who was 1-month postpartum presented with vaginal bleeding, pelvic pain, and no fever. At the time of initial H&P, bedside ultrasound revealed echogenic material within the endometrial cavity with blood flow seen by color Doppler consistent with retained products of conception. The bedside ultrasound rapidly narrowed the differential and allowed a definitive diagnosis immediately. Ob/Gyn was consulted and dilation and curettage was performed in the operating room. Conclusions. Retained products of conception is an important diagnosis for the emergency physician to consider in at-risk patients. The sonographic findings are easily obtained and interpreted by emergency physicians. Earlier diagnosis of this disease process should lead to more focused patient evaluations and management.

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“…Females are generally recommended for hysteroscopy or curettage; both of these are performed and require surgical procedure under general anaesthesia. 5 Post-abortion care for missed and incomplete abortion can be done surgically, medically with misoprostol or expectantly by awaiting spontaneous expulsion. Surgical evacuation is an effective method with more than 95% success rate.…”

Section: Introductionmentioning

confidence: 99%

The Diagnostic Accuracy of Ultrasound in Retained Products of Conception in Postpartum Period by Using Histopathology as the Gold Standard

Sohail

Hussain

Shahzad

et al. 2020

APMC

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Background: Retained product of conception (RPOC) has been the commonest factor involved in secondary post-partum hemorrhage. Ultrasound is a valuable diagnostic method for the diagnosis of PPH patients and is much more reliable than clinical presentation for the RPOC diagnosis alone. Objective: To determine the diagnostic accuracy of ultrasound in detection of retained products of conception in postpartum period in clinically suspected patients taking histopathology as gold standard.

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Combined clinical and ultrasonographic work-up for the diagnosis of retained products of conception

Cited by 24 publications

References 7 publications

Is ultrasonographic evaluation essential for diagnosis of retained products of conception after surgical abortion?

Is ultrasonographic evaluation essential for diagnosis of retained products of conception after surgical abortion?

Retained Products of Conception: An Atypical Presentation Diagnosed Immediately with Bedside Emergency Ultrasound

The Diagnostic Accuracy of Ultrasound in Retained Products of Conception in Postpartum Period by Using Histopathology as the Gold Standard

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