Retained Fetal Bones (An Unusual Outcome of Abortion) – A Rare Cause of Secondary Infertility
Background
A 35 year old P1L1A1 presented with menorrhagia, dysmenorrhoa, intermenstrual spotting and secondary fertility since three years. The symptoms aggravated since six months. There is a history of termination of pregnancy at 16 weeks for fetal demise and dilatation and evacuation done 4 years back.
Diagnosis And Treatment
Ultrasound revealed linear echogenic focus measuring 1.8 *0.5cms with posterior acoustic shadowing in body of uterus and calcified retained products.
Hysteroscopy was done and embedded fetal bone fragments were removed.
2 months later the patient conceived.
Hysteroscopic pics of retained fetal bones in the uterine myometrium
Empty uterus after the procedure
Removed bone fragments
About Author –
Dr. Sravanthi Gadhiraju, Consultant Gynaecologist, Obstetrician and Laparoscopic Surgeon, Yashoda Hospital, Hyderabad
MS (OBG), FMAS, DMAS
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