Retained intrauterine foetal bones: a rare cause of secondary infertility leading to diagnostic dilemma

The presence of intrauterine bone fragments is rare. These patients may present with pelvic pain, dysmenorrhoea, abnormal uterine bleeding and secondary infertility. We present a case of a 36-year old woman complaining of dysfunctional uterine bleeding with secondary infertility of six years duratio...

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Bibliographic Details
Published in:Journal of Clinical and Scientific Research 2012-04, Vol.1 (2), p.103-105
Main Authors: AK, Chowhan, N, Rukmangadha, KV, Sreedhar Babu, Patnayak, Rashmi, BV, Phaneendra, Devi, Varalakshmi, M, Kumaraswamy Reddy
Format: Article
Language:English
Subjects:
Infertility
Intrauterine foetal bones
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Summary:The presence of intrauterine bone fragments is rare. These patients may present with pelvic pain, dysmenorrhoea, abnormal uterine bleeding and secondary infertility. We present a case of a 36-year old woman complaining of dysfunctional uterine bleeding with secondary infertility of six years duration.Detailed history, pelvic ultrasonography, hysteroscopy and histopathological examination of the hysteroscopically evacuated uterine cavity fragments were performed. Morphological examination revealed interesting presence of some tiny bony chips along with endometrial tissue. Intrauterine retained foetal bony chips due to previous medical termination of pregnancy was identified to be the cause of secondary infertility in the present case. Our case reiterates the importance of analyzing detailed clinical history in the evaluation of patients with secondary infertility
ISSN:2277-5706
2277-8357
DOI:10.15380/2277-5706.JCSR.12.026