Degenerated Retained Product of Conception Misdiagnosed as Invasive Trophoblastic Disease
- Author:
Ai Peng Tan
- Publication Type:Case Reports
- Keywords:
Retained products of conception;
Gestational trophoblastic disease;
menorrhagia
- From:
The Medical Journal of Malaysia
2015;70(2):100-101
- CountryMalaysia
- Language:English
-
Abstract:
Retained products of conception (POC) complicates nearly
1% of all pregnancies, occurring with greater frequency after
termination of pregnancy than after vaginal or caesarean
delivery. The presenting symptoms of retained products of
conception are similar to those of gestational trophoblastic
disease and hence accurate differentiation is difficult based
on clinical history and physical examination alone. The
distinction between these two entities is extremely
important as the treatment differs dramatically. These
patients often need to be further evaluated with either
ultrasound, computed tomography (CT) or magnetic
resonance imaging (MRI) of the pelvis. Hence, radiologists
play a vital role in clinching the diagnosis although at times
it may be challenging to differentiate between these two
entities. Herein, we discuss a case of degenerated retained
products of conception which was initially misdiagnosed as
invasive trophoblastic disease in a 41-year-old woman
whom last known pregnancy was 10 years ago.
- Full text:P020150724527750372186.pdf
