Ultrasound Assessment of Retained Products of Conception (RPOC): Insights from the Current Literature

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Narrative review highlights diagnostic challenges of RPOC in postpartum women, emphasizing ultrasound features and decision-making implications.

The detection of echogenic intrauterine masses provides the most sensitive indicator for diagnosing retained products of conception, helping to avoid unnecessary surgeries.
Transvaginal ultrasound remains the primary imaging technique, but variability in diagnostic criteria complicates clinical decisions regarding retained products of conception.
Color Doppler imaging enhances diagnostic insights with parameters such as enhanced myometrial vascularity, although overlaps with benign conditions limit its standalone reliability.
Follow-up ultrasound timing post-treatment is crucial, as delays may reduce overtreatment by allowing natural resolution of retained products of conception.

Incognito et al. (2025) studied this question.

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Narrative review highlights diagnostic challenges of RPOC in postpartum women, emphasizing ultrasound features and decision-making implications.