Thangarajah, Fabinshy, Brunner, Magdalena, Pahmeyer, Caroline, Radosa, Julia Caroline, Eichler, Christian, Ludwig, Sebastian, Morgenstern, Bernd and Mallmann, Peter (2019). Predictors of Postpartal Retained Products of Conception. In Vivo, 33 (2). S. 469 - 473. ATHENS: INT INST ANTICANCER RESEARCH. ISSN 1791-7549

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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.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Thangarajah, FabinshyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brunner, MagdalenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pahmeyer, CarolineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Radosa, Julia CarolineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eichler, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ludwig, SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Morgenstern, BerndUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mallmann, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-155852
DOI: 10.21873/invivo.11496
Journal or Publication Title: In Vivo
Volume: 33
Number: 2
Page Range: S. 469 - 473
Date: 2019
Publisher: INT INST ANTICANCER RESEARCH
Place of Publication: ATHENS
ISSN: 1791-7549
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
TRANSVAGINAL SONOGRAPHY; DIAGNOSIS; ULTRASONOGRAPHY; DELIVERY; TISSUEMultiple languages
Medicine, Research & ExperimentalMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/15585

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