Retained products of conception

Case contributed by Dr Maulik S Patel

Presentation

H/o MTP (mifepristone) pills. C/o bleeding per vaginum for last 20 days.

Patient Data

Age: 25 years
Gender: Female
ultrasound

Uterus is anteveted. It shows normal echopattern measuring 73 x 44 x 42 mm.

No focal mass lesion in noted.

Heterogeneous echopattern area ( 25 x 15 x 10 mm ) with vascularity is noted in endometrial canal.

Right ovary - a thin-walled cyst with internal strands -  37 x 36 mm

Left ovary - a thin-walled cyst with internal strands - 24 x 23 mm

No extra-ovarian adnexal mass lesion is noted.

No free fluid is seen in the pelvis. 

Case Discussion

In view of clinical background, findings represent retained products of conception.

Bilateral ovarian hemorrhagic cysts.

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