This 28 year old patient presented with no complaints whatsoever other than irregular bleeding.

The images below demonstrate a complex endometrial mass which also displayed increased low resistence flow by Duplex Doppler within the mass

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Answer:


This "endometrial mass" was diagnosed as placental tissue by pathology at the time of D&C. Interestingly, this patient was afebrile and had no symptoms of retained products of conception. More amazing is the fact that this patient was 8 months post-partum at the time of the sonogram!!

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