Design: Case Report

Setting: This case took place at a large tertiary care academic teaching hospital

Patients or Participants: A 32 year-old gravida 1 para 0 with abnormally rising beta human chorionic gonadotropin (bHCG) after presumed spontaneous abortion who received care at the OBGYN practice of this large tertiary care academic teaching hospital.

Interventions: A minimally invasive approach of resection of retained products of conception with a diagnostic hysteroscope and hysteroscopic scissors and graspers

Measurements and Main Results: Hysteroscopic scissors and graspers were used to resect the retained products of conception in their entirety. The final pathology report was consistent with retained products of conception and the patient's bHCG decreased to zero. Three months later, the patient became pregnant and went on to have a successful pregnancy delivered at term.

Conclusion: Hysteroscopy is a minimally invasive, fertility-sparing approach for both diagnosis and treatment of retained products of conception with a higher likelihood of success compared to other methods of removal given the direct visualization of the uterine cavity.