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Retained Products of Conception
Paula J. Woodward, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Retained products of conception (RPOC)
            • Definitions

              • Incomplete uterine evacuation with retention of placental/trophoblastic tissue within endometrial cavity
                • May occur after abortion, vaginal delivery, or even cesarean section

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • MR Findings

                  DIFFERENTIAL DIAGNOSIS

                    CLINICAL ISSUES

                    • Presentation

                      • Demographics

                        • Natural History & Prognosis

                          • Treatment

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              • Image Interpretation Pearls

                                Selected References

                                1. Kamaya A et al: Variable color Doppler sonographic appearances of retained products of conception: radiologic-pathologic correlation. Abdom Imaging. 40(7):2683-9, 2015
                                2. Ben-Ami I et al: A comparison of reproductive outcomes following hysteroscopic management versus dilatation and curettage of retained products of conception. Int J Gynaecol Obstet. 127(1):86-9, 2014
                                3. Smorgick N et al: Hysteroscopic management of retained products of conception: meta-analysis and literature review. Eur J Obstet Gynecol Reprod Biol. 173:19-22, 2014
                                4. Atri M et al: Best predictors of grayscale ultrasound combined with color Doppler in the diagnosis of retained products of conception. J Clin Ultrasound. 39(3):122-7, 2011
                                5. Kitahara T et al: Management of retained products of conception with marked vascularity. J Obstet Gynaecol Res. 37(5):458-64, 2011
                                6. Matsubara S et al: Retained products of conception with marked vascularity: pseudoaneurysm hidden behind it. J Obstet Gynaecol Res. 37(7):965; author reply 966, 2011
                                7. Lee NK et al: Postpartum hemorrhage: Clinical and radiologic aspects. Eur J Radiol. 74(1):50-9, 2010
                                8. Kamaya A et al: Imaging and diagnosis of postpartum complications: sonography and other imaging modalities. Ultrasound Q. 25(3):151-62, 2009
                                9. Kamaya A et al: Retained products of conception: spectrum of color Doppler findings. J Ultrasound Med. 28(8):1031-41, 2009
                                10. Wolman I et al: Combined clinical and ultrasonographic work-up for the diagnosis of retained products of conception. Fertil Steril. 92(3):1162-4, 2009
                                11. Ustunyurt E et al: Role of transvaginal sonography in the diagnosis of retained products of conception. Arch Gynecol Obstet. 277(2):151-4, 2008
                                12. Jain K et al: Retained products of conception mimicking a large endometrial AVM: complete resolution following spontaneous abortion. J Clin Ultrasound. 35(1):42-7, 2007
                                13. Durfee SM et al: The Sonographic and Color Doppler Features of Retained Products of Conception. J Ultrasound Med. 24(9):1181-1186, 2005
                                14. Sadan O et al: Role of sonography in the diagnosis of retained products of conception. J Ultrasound Med. 23(3):371-4, 2004
                                15. Noonan JB et al: MR imaging of retained products of conception. AJR Am J Roentgenol. 181(2):435-9, 2003
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Clinical Issues

                                        • Diagnostic Checklist

                                          TERMINOLOGY

                                          • Abbreviations

                                            • Retained products of conception (RPOC)
                                          • Definitions

                                            • Incomplete uterine evacuation with retention of placental/trophoblastic tissue within endometrial cavity
                                              • May occur after abortion, vaginal delivery, or even cesarean section

                                          IMAGING

                                          • General Features

                                            • Ultrasonographic Findings

                                              • MR Findings

                                                DIFFERENTIAL DIAGNOSIS

                                                  CLINICAL ISSUES

                                                  • Presentation

                                                    • Demographics

                                                      • Natural History & Prognosis

                                                        • Treatment

                                                          DIAGNOSTIC CHECKLIST

                                                          • Consider

                                                            • Image Interpretation Pearls

                                                              Selected References

                                                              1. Kamaya A et al: Variable color Doppler sonographic appearances of retained products of conception: radiologic-pathologic correlation. Abdom Imaging. 40(7):2683-9, 2015
                                                              2. Ben-Ami I et al: A comparison of reproductive outcomes following hysteroscopic management versus dilatation and curettage of retained products of conception. Int J Gynaecol Obstet. 127(1):86-9, 2014
                                                              3. Smorgick N et al: Hysteroscopic management of retained products of conception: meta-analysis and literature review. Eur J Obstet Gynecol Reprod Biol. 173:19-22, 2014
                                                              4. Atri M et al: Best predictors of grayscale ultrasound combined with color Doppler in the diagnosis of retained products of conception. J Clin Ultrasound. 39(3):122-7, 2011
                                                              5. Kitahara T et al: Management of retained products of conception with marked vascularity. J Obstet Gynaecol Res. 37(5):458-64, 2011
                                                              6. Matsubara S et al: Retained products of conception with marked vascularity: pseudoaneurysm hidden behind it. J Obstet Gynaecol Res. 37(7):965; author reply 966, 2011
                                                              7. Lee NK et al: Postpartum hemorrhage: Clinical and radiologic aspects. Eur J Radiol. 74(1):50-9, 2010
                                                              8. Kamaya A et al: Imaging and diagnosis of postpartum complications: sonography and other imaging modalities. Ultrasound Q. 25(3):151-62, 2009
                                                              9. Kamaya A et al: Retained products of conception: spectrum of color Doppler findings. J Ultrasound Med. 28(8):1031-41, 2009
                                                              10. Wolman I et al: Combined clinical and ultrasonographic work-up for the diagnosis of retained products of conception. Fertil Steril. 92(3):1162-4, 2009
                                                              11. Ustunyurt E et al: Role of transvaginal sonography in the diagnosis of retained products of conception. Arch Gynecol Obstet. 277(2):151-4, 2008
                                                              12. Jain K et al: Retained products of conception mimicking a large endometrial AVM: complete resolution following spontaneous abortion. J Clin Ultrasound. 35(1):42-7, 2007
                                                              13. Durfee SM et al: The Sonographic and Color Doppler Features of Retained Products of Conception. J Ultrasound Med. 24(9):1181-1186, 2005
                                                              14. Sadan O et al: Role of sonography in the diagnosis of retained products of conception. J Ultrasound Med. 23(3):371-4, 2004
                                                              15. Noonan JB et al: MR imaging of retained products of conception. AJR Am J Roentgenol. 181(2):435-9, 2003