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What Does The Following Abdominal Ultrasound Report Indicate?

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Posted on Wed, 19 Apr 2017
Question: Hi Mam/Sir,

I had a spontaneous abortion on 4th Feb 2017. After which I had an ultrasound which reflected that I have remaining products.

My gynaecologist advised me to wait until my next periods to see if the remaining products will be expelled naturally. Got my tvs ultrasound scan of pelvic organ done today.

Reports states :
UBD: normal in contour, no calculus or mass lesions are seen

Uterus: Anteverted 69*41*54mm myometrium normal
Endometrium 13mm small hyperechoic area of 9mm seen at body region
No foetal node seen, no mass lesions are seen

Ovaries: right ovary 30*17mm left ovary 41*24mm
Shape and echo pattern are normal, no cystic or no solid mass lesions are seen

No free fluid is seen in cul de sac
No adnexal mass is seen
Impression : incomplete abortion

I'm not having any pain, bleeding, fever or foul smell discharge just few spotting.

kindly advice if a surgey is required in my case as I don't want to unnecessarily go for it.

Ive also attached my ultrasound reports from the start for your reference.

Regards
XXXX
doctor
Answered by Dr. Richa Agarwal (2 hours later)
Brief Answer:
Need evacuation.

Detailed Answer:
Hello dear,

Thanks for trusting hcm about your healthconcern.
I have gone through your history and understand your concerns.

In my opinion as you are having retained products of conception such a long period of time, it is better to get your suction and evacuation of uterus done under supervision of a gynecologist though you are not having any symptoms of bleeding and pain.

It may cause infection in uterus in future.
Hope found useful, feel free to ask more information.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Richa Agarwal

OB & GYN Specialist

Practicing since :1999

Answered : 4031 Questions

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What Does The Following Abdominal Ultrasound Report Indicate?

Brief Answer: Need evacuation. Detailed Answer: Hello dear, Thanks for trusting hcm about your healthconcern. I have gone through your history and understand your concerns. In my opinion as you are having retained products of conception such a long period of time, it is better to get your suction and evacuation of uterus done under supervision of a gynecologist though you are not having any symptoms of bleeding and pain. It may cause infection in uterus in future. Hope found useful, feel free to ask more information. Good luck. Regards