Infertility due to intrauterine residual fetal bone fragments

2004 ◽  
Vol 32 (5) ◽  
pp. 253-255 ◽  
Author(s):  
İsmail Çepni ◽  
Banu Kumbak ◽  
Pelin Öcal ◽  
Mehmet İdil ◽  
Feridun Aksu
Keyword(s):  
Author(s):  
Atossa Mahdavi ◽  
Sasan Kazemian ◽  
Emad Koohestani

Background: Intrauterine retention of fetal bone fragments is a rare condition that could happen after abortion (especially illegal abortion). It can cause secondary infertility as bon fragments can work as an intrauterine contraceptive device. Case: A 25-year-old Iranian woman was referred to Shariati Hospital due to infertility. During infertility work up to normal semen analysis, adequate ovarian reserve with regular ovulatory cycles was documented. An ultrasound scan revealed focal echogenic shadowing lesions inside the uterine cavity. Hysteroscopy was conducted and many intrauterine bone fragments were revealed. Six months after hysteroscopic removal of fetal bones, the patient became pregnant and delivered a healthy and term baby. Conclusion: Intrauterine fetal bone retention is a scarce event that happens after pregnancy termination due to the incomplete evacuation of fetal tissues. It can cause dysfunctional uterine bleeding, menorrhagia, dysmenorrhea, pelvic pain, abnormal vaginal discharge, and secondary infertility. The detection of the problem and the removal of the remained bones by hysteroscopy have made possible to treat the patient safely and restore normal uterine function and female fertility.


2013 ◽  
Vol 122 (2, PART 2) ◽  
pp. 458-461 ◽  
Author(s):  
William D. Winkelman ◽  
Mary C. Frates ◽  
Janis H. Fox ◽  
Elizabeth S. Ginsburg ◽  
Serene Srouji

2008 ◽  
Vol 149 (51) ◽  
pp. 2425-2431
Author(s):  
Ákos Jakobovits
Keyword(s):  

A szerző a magzatok csontjainak és ízületeinek funkcióját, majd patológiáját tárgyalja. A csontok biztosítják a test statikáját, a koponya és a gerincoszlop védi a központi idegrendszert, a mellkas a szívet és a tüdőt, a medence pedig a hasi szerveket. Mindezek kóros elváltozásai veszélyeztetik a szervek normális működését. A csontok mozgását az ízületek és az izmok teszik lehetővé. A végtagok abnormalitásai a mozgásokat korlátozzák („foetal akinesia deformation sequence”). Akinesiát idézhetnek elő elsősorban a csont-, az ízületi, továbbá idegrendszeri, izom-, esetleg bőrbetegségek, amelyek befolyásolják a csontok és ízületek állapotát, funkcióképességét. Mindezek a kóros elváltozások aktivitáskorlátozást vagy rokkantságot okoznak, súlyos esetben halálosak. Ultrahanggal a betegségek korán kimutathatók, és reménytelen esetben a terhesség megszakítása javasolt.


2018 ◽  
Vol 43 (5) ◽  
pp. 519-528
Author(s):  
Manuela Zadravec ◽  
Zvonimir Kozarić ◽  
Snježana Kužir ◽  
Mario Mitak ◽  
Tomislav Gomerčić ◽  
...  

2020 ◽  
Vol 237 (1) ◽  
pp. 105-118
Author(s):  
Gessiane Pereira da Silva ◽  
Frederico Ozanan Barros Monteiro ◽  
Thyago Habner de Souza Pereira ◽  
Sandy Estefany Rodrigues de Matos ◽  
Rafael Santos de Andrade ◽  
...  
Keyword(s):  

Author(s):  
Shu Yan ◽  
Yan Jiang ◽  
Yan Wang ◽  
Kaixuan Chen ◽  
Xudong Yan ◽  
...  

Abstract Purpose To report our experience using endoscopic intranasal incision reduction (EIIR) for nasal fractures and to assess effectiveness of the method. Methods 30 patients who underwent EIIR were retrospectively analysed. All the patients were examined by three-dimensional computed tomography (3D CT), acoustic rhinometry and rhinomanometry, preoperatively and postoperatively at 1 month. The visual analogue scale (VAS) was used to assess the preoperative aesthetics and nasal airflow satisfaction and at 1, 3 and 6 months postoperatively. VAS aesthetic satisfaction was also scored by two junior doctors. Results 3D CT showed that the fracture fragments fitted well in 30 patients postoperatively at 1 month. VAS aesthetics and nasal airflow scores were significantly improved postoperatively at 1, 3 and 6 months compared with preoperative scores (P < 0.01). The VAS aesthetic scores from the two surgeons were also significantly improved (P < 0.01). The minimal cross-sectional area increased from 0.39 ± 0.13 to 0.64 ± 0.13 (P < 0.001), the nasal volume increased from 4.65 ± 0.86 to 6.37 ± 0.94 (P < 0.001) and the total inspiratory airway resistance of the bilateral nasal cavity median decreased from 0.467 Pa/mL/s to 0.193 Pa/mL/s (P < 0.001). There were no technique-related intraoperative complications. Conclusion EIIR was a practical choice, and the aesthetics and nasal airflow were significantly improved in patients with overlapped and displaced bone fragments, patients with fractures of the frontal process of the maxilla (FFPM), patients who underwent failed CR and patients beyond the optimal temporal window.


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