Fabinshy Thangarajah1,2, Magdalena Brunner3, Caroline Pahmeyer3, Julia Caroline Radosa4, Christian Eichler3,2, Sebastian Ludwig3, Bernd Morgenstern3, Peter Mallmann3. 1. Department of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany Fabinshy.Thangarajah@uk-koeln.de. 2. Breast Center, University Hospital Cologne, Cologne, Germany. 3. Department of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany. 4. Clinic for Gynecology, Obstetrics and Reproductive Medicine, Saarland University Medical Center, Homburg, Germany.
Abstract
BACKGROUND: Retention of products of conception (RPOC) following delivery is rare. Clinicians often have the impression that a high proportion of patients with sonographically suspected RPOC following surgery have a negative histopathology. Hence, we aimed to report our single-center experience with suspected RPOC and histopathological outcome after surgery. PATIENTS AND METHODS: In this retrospective analysis, patients who underwent surgery due to suspected postpartum RPOC were analyzed for potential predictive clinical and sonographic parameters. RESULTS: A total of 32 patients with histopathologically-confirmed RPOC were compared with 21 patients with a negative histopathological report for RPOC. Endometrial hyperechogenic mass and clinical parameters such as pain, fever and bleedings were not predictive for RPOC. Increased age (p=0.001) and vaginal delivery (p=0.040) were significantly associated with RPOC. CONCLUSION: Clinical presentation alone is not predictive for RPOC. Vaginal delivery and younger age seem to be a risk factor and therefore have to be considered in patients with suspected RPOC. Copyright
BACKGROUND: Retention of products of conception (RPOC) following delivery is rare. Clinicians often have the impression that a high proportion of patients with sonographically suspected RPOC following surgery have a negative histopathology. Hence, we aimed to report our single-center experience with suspected RPOC and histopathological outcome after surgery. PATIENTS AND METHODS: In this retrospective analysis, patients who underwent surgery due to suspected postpartum RPOC were analyzed for potential predictive clinical and sonographic parameters. RESULTS: A total of 32 patients with histopathologically-confirmed RPOC were compared with 21 patients with a negative histopathological report for RPOC. Endometrial hyperechogenic mass and clinical parameters such as pain, fever and bleedings were not predictive for RPOC. Increased age (p=0.001) and vaginal delivery (p=0.040) were significantly associated with RPOC. CONCLUSION: Clinical presentation alone is not predictive for RPOC. Vaginal delivery and younger age seem to be a risk factor and therefore have to be considered in patients with suspected RPOC. Copyright