Restos ovulares y placentarios (ROP) y nódulo del lecho placentario (NLP) en un istmocele tras un parto vaginal: diagnóstico y corrección laparoscópica

Abstract

Introduction

An isthmocele is a disruption of the myometrium that creates a cavity at the level of the hysterorrhaphy because of an impaired cicatrization from a previous caesarean section. In addition to several obstetric and fertility complications, it is possible the presence of retained products of conception inside it. We present the case of an isthmocele without previous cesarean section, with retained products of conception and a placental site nodule.

Symptoms and clinical findings

We present a clinical case of a 32-year-old woman, with no history of previous cesarean section, who consulted due to the presence of latent hypogastric pain. After the initial examination and hysteroscopy, the presence of an isthmocele with retained products of conception was revealed.

Therapeutic interventions

After laparoscopic correction of the isthmocele, the anatomopathological findings showed the presence of a placental site nodule, a benign entity whose atypical variant is related to epithelioid trophoblastic tumor, which is the rarest form of gestational trophoblastic tumor.

Results

After the surgical procedure, the patient remains asymptomatic and without any additional treatment.