Retained fetal bone post abortion causing infertility

Mapping Intimacies ◽

10.22541/au.163899741.15120177/v1 ◽

2021 ◽

Author(s):

Jiexin Cao ◽

Carla Grubb ◽

Mian Khurshid ◽

Aparna Gumma

Keyword(s):

Secondary Infertility ◽

Menstrual Dysfunction ◽

Fetal Bone ◽

Post Abortion

Fetal bone retention is a rare but under-diagnosed complication after abortion. If left untreated, it can cause menstrual dysfunction and secondary infertility. We present a case of a 39 year old woman who undergone abortion 20 years ago but suffered with secondary infertility due to retained fetal bone.

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Postabortal Intrauterine Fetal Bone as a Cause of Menorrhagia and Secondary Infertility

Indian Journal of Obstetrics and Gynecology ◽

10.21088/ijog.2321.1636.5217.25 ◽

2017 ◽

Vol 5 (2) ◽

pp. 132-134

Author(s):

Rajeshwari Laxman Khyade ◽

◽

Pundalik Sonawane ◽

Geeta Niyogi ◽

◽

...

Keyword(s):

Secondary Infertility ◽

Fetal Bone

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Secondary infertility due to intrauterine fetal bone retention: A case report and review of the literature

International Journal of Reproductive BioMedicine ◽

10.18502/ijrm.v17i8.4825 ◽

2019 ◽

Author(s):

Atossa Mahdavi ◽

Sasan Kazemian ◽

Emad Koohestani

Keyword(s):

Pregnancy Termination ◽

Semen Analysis ◽

Uterine Cavity ◽

Rare Condition ◽

Contraceptive Device ◽

Secondary Infertility ◽

Fetal Bone ◽

Intrauterine Contraceptive ◽

Bone Fragments ◽

Term Baby

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.

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