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Obstetrics » Obstetrics 1st Trimester
Retained products of conception
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Presentation An ultrasound was performed to evaluate this young woman with vaginal bleeding for 2 weeks following a spontaneous abortion. B-HCG level has been slowly dropping.
 
 
 
Caption: Sagittal transabdominal US of the uterus.
Description: Sagittal sonogram of the uterus demonstrates marked endometrial thickening due to a heterogeneous, solid mass. Color and spectral Doppler sonography (not shown) would be helpful to further evaluate.
 
 
 
Caption: Sagittal transabdominal US of uterus.
Description: Sagittal sonogram of the uterus demonstrates marked, heterogeneous endometrial thickening due to a solid mass. Color and spectral Doppler sonography (not shown) would be helpful to further evaluate.
 
Differential Diagnosis Retained products of conception. 
Hematoma in the endometrial canal. 
Gestational trophoblastic disease.
 
Final Diagnosis Retained products of conception.
 
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