Detection of retained products of conception following spontaneous abortion in the first trimester.

Kurtz, Alfred B.; Shlansky-Goldberg, Richard D.; Choi, Hwang; Needleman, Laurence; Wapner, Ronald J.; Goldberg, Barry B.

doi:10.7863/jum.1991.10.7.387

Cited by 48 publications

(34 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The importance of measuring the endometrial thick ness to rule out or rule in trophoblastic remnants after abortion was investigated by Kurtz et al [7], They corre lated pathologically proven results with the sonographic findings in 97 patients who had an ultrasound examina tion 3.2 days on the mean before a D&C for spontaneous first trimester abortion. These authors used strict ultra sonographic criteria for placental remnants (space-oc cupying lesions) and measured the endometrial thickness.…”

Section: Placental Remnantmentioning

confidence: 99%

Accurate Diagnosis of Postabortal Placental Remnant by Sonohysterography and Color Doppler Sonographic Studies

Tal

Timor‐Tritsch

Degani

1997

Gynecol Obstet Invest

View full text Add to dashboard Cite

The decision whether to perform uterine curettage for postabortal bleeding depends on the ability to demonstrate placental remnants in the uterine cavity. However, diagnosis of postabortal trophoblastic residua by conventional ultrasonography may be inconclusive. We report our experience with the use of combined sonohysterography and color Doppler to demonstrate a placental polyp after early pregnancy termination.

show abstract

Section: Placental Remnantmentioning

confidence: 99%

Accurate Diagnosis of Postabortal Placental Remnant by Sonohysterography and Color Doppler Sonographic Studies

Tal

Timor‐Tritsch

Degani

1997

Gynecol Obstet Invest

View full text Add to dashboard Cite

show abstract

“…In subjects presenting with a threat of abortion, transvaginal sonography (TVS) is capable of determining fetal viability [3], and where spontaneous abortion is confirmed, it can be used to determine whether significant amounts of uterine debris remain inside the uterine cavity [4,5]. This debris may consist of a combination of products of conception (POC), blood and decidua.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Accuracy of Transvaginal Sonography for the Assessment of Retained Products of Conception After Spontaneous Abortion

Chung¹,

Cheung²,

Sahota³

et al. 1998

Gynecol Obstet Invest

View full text Add to dashboard Cite

Transvaginal sonography (TVS) was used to assess uterine contents in 100 consecutive subjects presenting with a diagnosis of spontaneous abortion. TVS assessments were correlated with findings at subsequent evacuation of retained products of conception (ERPC). There was a strong correlation between the weight of the surgical specimen at ERPC with both the sagittal (r = 0.76; p < 0.05) and transverse (r = 0.73; p < 0.05) plane area measurements of the uterine cavity. Combining the 2 sonographic measurements increased the correlation to r = 0.81 (p < 0.05). Fifteen of 25 subjects who had been categorised to have an ‘empty’ uterus had less than 5 g of tissue removed and the other 10 subjects less than 10 g of tissue. In 20 of these 25 cases, the surgeon described the amount of curettings as ‘small or non-significant’. TVS can accurately identify those women who do not have a significant amount of residual uterine tissue following spontaneous abortion.

show abstract

“…2,3 These data may not be relevant to the interpretation of images obtained a few days after the procedure, which often is the time elapsed before symptoms develop and the woman is referred for reevaluation. The present study was performed to clarify the normal distribution of endovaginal sonographic findings of such patients to prevent unnecessary repeated invasive interventions (because of a presumed diagnosis of retained products of conception), which are associated with various complications, especially uterine synechiae causing Asherman syndrome.…”

Section: Discussionmentioning

confidence: 99%

Spectrum of normal intrauterine cavity sonographic findings after first‐trimester abortion.

Bar‐Hava

Aschkenazi

Orvieto

et al. 2001

J of Ultrasound Medicine

View full text Add to dashboard Cite

Objective. To characterize the sonographic appearance of the uterine cavity after uncomplicated firsttrimester abortion. Methods. Women who underwent uterine evacuation for first-trimester abortion were referred for endovaginal sonographic examination within the week after the procedure. Special attention was directed to characterizing the intrauterine cavity. Demographic and clinical parameters were collected. A repeated postmenstrual examination was carried out in selected cases. Results. In all, 57, 10, and 7 sonographic examinations were performed after termination of pregnancy, incomplete (spontaneous) abortion, and missed abortion, respectively. Fifty-seven (77%) of the 74 examinations showed considerable amounts of intrauterine content with various echogenicities (anteroposterior thickness range, 7-61 mm). No association could be documented between the pattern of appearance and gravidity, parity, gestational age, or type of abortion procedure. All postmenstrual reevaluations of patients with excessive amounts of intrauterine material at the initial examination (n = 7) showed empty intrauterine cavities. Conclusion. Within the week after firsttrimester abortion, the uterine cavity is seldom empty. Thick heterogeneous material is an expected finding after examination. By being familiar with this normal range of appearances, clinicians can avoid unnecessary repeated invasive evacuation procedures. A follow-up sonographic evaluation during the follicular phase of the next menstrual cycle is recommended to confirm the absence of retained products of pregnancy. Key words: sonography; abortion; intrauterine findings. Obstetrics and Gynecology, Rabin Medical Center, Petah Tiqva, Israel; and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Revision requested May 21, 2001. Revised manuscript accepted for publication July 11, 2001. We thank Merav Seadi for technical assistance and Charlotte Sachs and Gloria Ginzach (Editorial Board, Rabin Medical Center, Beilinson Campus) for assistance. Received April 12, 2001, from the Department ofAddress correspondence and reprint requests to Itai Bar-Hava, MD, Department of Obstetrics and Gynecology, Rabin Medical Center, Golda Campus, Petah Tiqva, Israel. irst-trimester abortion is associated with an overall complication rate of 0.9% to 7%. 1 The estimated rate of repeated curettage is around 0.38, 2 but because first-trimester abortion is so common, the actual number of women with some complication might be more substantial. Women who may not have complications requiring invasive intervention may nevertheless approach their primary physicians with various symptoms such as abdominal pain, cramping, and vaginal bleeding. In such circumstances, uterine cavity evaluation by endovaginal sonography is a well-accepted tool for diagnosis and treatment planning. To our knowledge, however, little information is available regarding the sonographic characteristics of the normal uterine cavity after a first-trimester abortion.

show abstract

Detection of retained products of conception following spontaneous abortion in the first trimester.

Cited by 48 publications

References 5 publications

Accurate Diagnosis of Postabortal Placental Remnant by Sonohysterography and Color Doppler Sonographic Studies

Accurate Diagnosis of Postabortal Placental Remnant by Sonohysterography and Color Doppler Sonographic Studies

Evaluation of the Accuracy of Transvaginal Sonography for the Assessment of Retained Products of Conception After Spontaneous Abortion

Spectrum of normal intrauterine cavity sonographic findings after first‐trimester abortion.

Contact Info

Product

Resources

About