Management of women presenting with vaginal bleeding with enhanced myometrial vascularity and suspected retained products of conception

Background: To describe the clinical course of women with acute vaginal bleeding and a finding uterine enhanced myometrial vascularity (EVM) suspected retained products conception (RPOC) on ultrasound examination. Methods: A retrospective cohort study including EMV RPOC attending single tertiary medical center between April 2018 to May 2020. Women were identified from records clinics. Demographic characteristics retrieved women’s files. Results: During period nine met inclusion criteria. The preceding event in seven two was first second trimester abortions, respectively. Of those who underwent abortion, three surgical, spontaneous. Suspected observed by all cases. Six (67%) uncomplicated operative hysteroscopy removal RPOC, (33%), had severe active due vascular malformations (arterio-venous malformation-1, pseudo-aneurysm artery-1, other malformation-1) treated artery embolization prior hysteroscopy. Conclusions: Work-up episodes following curettage or abortion should include color/power Doppler ultrasonography for detection EMV. Although most cases is benign sonographic that accompany disappear after present it might hint presence cause life-threatening during additional surgical interventions.