It is important to determine the nature of any unusual material passed from the vagina.

Differential diagnosis of material passed per vaginum:

(1) miscarriage (abortus)

(2) retained secundines

(3) blood clot

(4) decidual cast

(5) endometrial polyp

(6) rhabdomyosarcoma or other tumor

(7) intrauterine or intravaginal foreign body

(8) material passed via a rectovaginal fistula


An examination of the material may consist of:

(1) X-ray (rarely performed)

(2) gross examination of the material

(3) microscopic examination

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