Spectrum of normal intrauterine cavity sonographic findings after first-trimester abortion.
J Ultrasound Med
; 20(12): 1277-81, 2001 Dec.
Article
en En
| MEDLINE
| ID: mdl-11762539
ABSTRACT
OBJECTIVE:
To characterize the sonographic appearance of the uterine cavity after uncomplicated first-trimester abortion.METHODS:
Women who underwent uterine evacuation for first-trimester abortion were referred for endovaginal sonographic examination within the week after the procedure. Special attention was directed to characterizing the intrauterine cavity. Demographic and clinical parameters were collected. A repeated postmenstrual examination was carried out in selected cases.RESULTS:
In all, 57, 10, and 7 sonographic examinations were performed after termination of pregnancy, incomplete (spontaneous) abortion, and missed abortion, respectively. Fifty-seven (77%) of the 74 examinations showed considerable amounts of intrauterine content with various echogenicities (anteroposterior thickness range, 7-61 mm). No association could be documented between the pattern of appearance and gravidity, parity, gestational age, or type of abortion procedure. All postmenstrual reevaluations of patients with excessive amounts of intrauterine material at the initial examination (n = 7) showed empty intrauterine cavities.CONCLUSION:
Within the week after first-trimester abortion, the uterine cavity is seldom empty. Thick heterogeneous material is an expected finding after examination. By being familiar with this normal range of appearances, clinicians can avoid unnecessary repeated invasive evacuation procedures. A follow-up sonographic evaluation during the follicular phase of the next menstrual cycle is recommended to confirm the absence of retained products of pregnancy.
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Base de datos:
MEDLINE
Asunto principal:
Útero
/
Aborto Espontáneo
/
Aborto Legal
/
Aborto Retenido
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
J Ultrasound Med
Año:
2001
Tipo del documento:
Article
País de afiliación:
Israel