Hypervascular retained product of conception: Characteristic magnetic resonance imaging and possible relationship to placental polyp and pseudoaneurysm.

The cases of two patients who developed myometrial vascularization following dilatation and curettage are described. In case 1, pathological diagnosis was possible with the resected specimens. This patient had hypervascular retained products of conception (RPOC). In case 2, the natural course of this pathological condition was observed, confirming a process of regression during repeated withdrawal bleeding. The three principal magnetic resonance imaging (MRI) findings in these cases were: (i) presence of a remnant; (ii) breaking of the junctional zone in contact with the remnant; and (iii) vascularization/flow voids infiltrating into the myometrium from the broken junctional zone. These three MRI findings differed in degree and varied in combination in each case of RPOC. Uterine artery pseudoaneurysms have been reported as intrauterine vascularization after abortion or delivery with subsequent spontaneous regression. These reports may include cases of hypervascular RPOC.

[Four cases of latent aortic aneurysm--preoperative screening of aortic pathology is necessary for elderly patients].

We report four cases of latent aortic aneurysm revealed by contrast computed tomography (CT) before operations. The incidence of aortic diseases has not been publicized in Japan. However, the report of autopsies demonstrated that the elderly has a high incidence of aortic aneurysm and aortic dissection. Preoperative screening of aortic disease is necessary for elderly patients in order to perform appropriate perioperative managements. At present, contrast CT is the most reliable method for rapid detection of the complicated aortic disease.