Retained products of conception: MRI
33 yr old lady after 2nd trimester (therapeutic) MTP10 days back with pain and bleeding and USG suggesting complex mass lesion with endometrial thickness not measurable shows on MRI, a large 5 cms appx measuring polypoidal ,endocavitary lesion with complete loss of junctional zone and myometrial thinning suggesting RPOC (Retained products of conception)
Teaching points by Dr MGK Murthy
1. Can occur in less than 1% of all pregnancies with increased incidence in MTP, 2nd trimester abortions, Placenta accreta
2.Can present with pain and bleeding similar to gestational Trophoblastic disease (GTD) (RPOC Beta HCG drops to normal after 2-3 weeks unlike the GTD)
3. USG shows echogenic ,complex, vascular (at times avascular ) mass lesion (endometrial thickness of 10mm) with calcification if chronic
4.MRI is helpful to show loss of junctional zone, anatomical delineation , myometrial thinning part from the extra uterine findings.
Retained products of conception: MRI
Reviewed by Sumer Sethi
on
Tuesday, May 05, 2015
Rating:
Reviewed by Sumer Sethi
on
Tuesday, May 05, 2015
Rating:
Sumer Sethi
Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has also been an invited faculty member at various conferences, including Teleradiology in IRIA 2008 and 2011, Hospital Build Middle East, Congress of the Brain Tumor Radiology in Neuro-oncology Society. Dr. Sethi is Editor-in-Chief of Internet Journal of Radiology. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals.
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