TY - JOUR
T1 - Hysteroscopic morcellator used in the diagnosis and evacuation of retained products of conception
AU - Tam, Teresa
AU - Estes, Stephanie
PY - 2013/12/1
Y1 - 2013/12/1
N2 - Background: Retained products of conception (RPOC) cause patients to have many symptoms that are often confusing to diagnose and treat. Surgical intervention with dilation and curettage, or hysteroscopic resection utilizing a resectoscope, is commonly performed. Case: A 32-year-old gravida 3, para 3, presented at Penn State Milton S. Hershey Medical Center, Hershey, PA, after a failed hysteroscopic removal of an intrauterine mass at a prior institution. The patient had persistent vaginal bleeding, pelvic discomfort, and dyspareunia after an uncomplicated cesarean delivery. Results: Successful removal of the large endometrial mass was accomplished with a hysteroscopic morcellator under ultrasound guidance. Pathology revealed necrotic placental tissue and chronic endometritis. As of this writing, the patient is doing well with normal menstrual cycles. Conclusions: This is the first case to describe a hysteroscopic morcellator used to assist with the removal of retained products of conception. Hysteroscopic morcellation is a safe and effective method used to completely remove retained products of conception. (J GYNECOL SURG 29:332)
AB - Background: Retained products of conception (RPOC) cause patients to have many symptoms that are often confusing to diagnose and treat. Surgical intervention with dilation and curettage, or hysteroscopic resection utilizing a resectoscope, is commonly performed. Case: A 32-year-old gravida 3, para 3, presented at Penn State Milton S. Hershey Medical Center, Hershey, PA, after a failed hysteroscopic removal of an intrauterine mass at a prior institution. The patient had persistent vaginal bleeding, pelvic discomfort, and dyspareunia after an uncomplicated cesarean delivery. Results: Successful removal of the large endometrial mass was accomplished with a hysteroscopic morcellator under ultrasound guidance. Pathology revealed necrotic placental tissue and chronic endometritis. As of this writing, the patient is doing well with normal menstrual cycles. Conclusions: This is the first case to describe a hysteroscopic morcellator used to assist with the removal of retained products of conception. Hysteroscopic morcellation is a safe and effective method used to completely remove retained products of conception. (J GYNECOL SURG 29:332)
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U2 - 10.1089/gyn.2013.0038
DO - 10.1089/gyn.2013.0038
M3 - Article
AN - SCOPUS:84890449723
SN - 1042-4067
VL - 29
SP - 332
EP - 335
JO - Journal of Gynecologic Surgery
JF - Journal of Gynecologic Surgery
IS - 6
ER -