The value of routine histopathological examination of products of conception in cases of first trimester spontaneous miscarriage

Abstract EN

Aim : to evaluate the histopathologic findings relating to tissue samples collected at surgical uterine evacuation in first trimester spontaneous miscarriage.

Patients and Methods : all patients admitted to Obstetrics and Gynecology Departments, Menoufiya University and Shebin Elkom Teaching Hospital with the diagnosis of spontaneous miscarriage underwent surgical evacuation.

Histopathological examination was done for the resulting tissue and the results were recorded and compared with the clinical diagnosis before the operation.

Results : Histopathological examination revealed the products of conception in 155 patients (94.5 %), partial vesicular mole in 5 patients (3.1 %), complete mole in 2 patients (1.2 %), and 2 patients had ectopic pregnancy (1.2 %).

Conclusion : routine histopathological examination of the products of conception of first trimester spontaneous miscarriage is very valuable as important findings as trophoblastic diseases and ectopic pregnancy can be diagnosed in cases diagnosed before as having spontaneous miscarriage thus saving the lives of these patients.