Infertility Due to Prolonged Retention of Fetal Bones: A Case Series

Awowole, Ibraheem O.; Badejoko, Olusegun O.; Ayegbusi, Ekundayo O.; Allen, Olubukola; Loto, Olabisi Morebise

doi:10.1089/gyn.2021.0045

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…As we have seen, symptoms may be muted. Patients tend to present with secondary infertility rather than acute infective pathology [13][14][15][16][17] and for this reason, may elude medical care for many years beyond the exposure event [18]. As in our case, definitive management requires surgical removal of the foreign body [19][20][21][22] to restore normal endometrial implantation potential and inflammatory risk profile.…”

Section: Discussionmentioning

confidence: 99%

Thorn in my Side - A Case of Entrapped, Intra-uterine Foreign Body and Delayed, Atypical Pelvic Inflammatory Disease

Aboda¹,

Kim²,

Xu³

et al. 2022

austinjclincaserep

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Uterine foreign bodies are a rare, but important cause of infertility and pelvic pain. Due to their relative scarcity, the diagnosis may be either missed or simply not considered as contributory to aetiology when patients present with symptoms. We report the case of a 42-year-old woman diagnosed with Atypical Pelvic Inflammatory Disease (APID). She presented with lower abdominal pain, vaginal discharge and inflammatory markers consistent with acute infection. Paradoxically, diagnostic imaging revealed an unsuspected intrauterine foreign body. The significance of this to the presenting complaint was initially uncertain however conservative management with antibiotics alone was sufficient to allow complete recovery. Later, the patient consented to operative hysteroscopy which identified and removed the object which was shown by histology to be a residual bone fragment derived most probably, from retained products of conception. The patient was noted to have had a surgical termination of pregnancy 5 years prior.

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Section: Discussionmentioning

confidence: 99%

Thorn in my Side - A Case of Entrapped, Intra-uterine Foreign Body and Delayed, Atypical Pelvic Inflammatory Disease

Aboda¹,

Kim²,

Xu³

et al. 2022

austinjclincaserep

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“…Gross examination of the specimen revealed seven (7) fetal skeletal fragments filling the lower uterine segment. Estimated blood loss was minimal.…”

Section: Case Reportmentioning

confidence: 99%

Abnormal Uterine Bleeding due to Retention of Fetal Bones after Abortion: A Case Report

Okafor,

Ogoke,

Taiwo

et al. 2023

OJOG

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Background: Retention of fetal bones is a rare cause of abnormal uterine bleeding. Others may present as subfertility, chronic pelvic pain, abnormal vaginal discharge, menometrorrhagia, dysmenorrhea and spontaneous expulsion of bony fragments. Incidence is 0.26% among patients undergoing hysteroscopy. Aim: To document a pattern of presentation of retained fetal bone and its management. Case Presentation: Our patient is an 18-year old who presented with vaginal bleeding of four weeks duration and managed for abnormal uterine bleeding due to retained fetal bone following second trimester abortion. Conclusion: The use of transvaginal ultrasound in making diagnosis of retained fetal bone is effective. Treatment by removal of bones through evacuation by dilatation and curettage or hysteroscopy brings about resolution of symptoms. Use of pelvic ultrasonography to confirm complete evacuation of the uterus after abortion especially second trimester abortion could aid in early diagnosis and management of incomplete abortion.

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Hysteroscopic Retrieval of Intrauterine Retained Fetal Bones Causing Infertility in a Tertiary Teaching Hospital: A Case Series

Adewole,

Owa,

Musa

et al. 2023

Afr J Reprod Gynaecol Endosc

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Background: Retained fetal bone is a rare complication of unsafe abortion, causing infertility by functioning similarly to an intrauterine device. Clinical and radiological evaluation may be inconclusive. Hysteroscopic evaluation is the gold-standard diagnostic and therapeutic procedure associated with fertility restoration. Materials and Methods: Out of 300 hysteroscopies performed from September 22, 2015, to September 21, 2022, six cases of retained fetal bones were identified. Results: The incidence was 2.0%. The age range was 26 to 44 years. Five out of six were nulliparous, and all women had a previous history of unsafe abortion. The gestational age at the previous abortion ranged from 12 to 24 weeks. The fetal bones were completely removed in all cases. Two out of six cases (33.3%) had favourable outcomes with spontaneous conception and live births. Conclusion: Retained fetal bone is a rare cause of infertility associated with diagnostic challenges, especially in low-resource settings. However, the removal of the fetal bone with hysteroscopy can restore fertility.

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Infertility Due to Prolonged Retention of Fetal Bones: A Case Series

Cited by 3 publications

References 12 publications

Thorn in my Side - A Case of Entrapped, Intra-uterine Foreign Body and Delayed, Atypical Pelvic Inflammatory Disease

Thorn in my Side - A Case of Entrapped, Intra-uterine Foreign Body and Delayed, Atypical Pelvic Inflammatory Disease

Abnormal Uterine Bleeding due to Retention of Fetal Bones after Abortion: A Case Report

Hysteroscopic Retrieval of Intrauterine Retained Fetal Bones Causing Infertility in a Tertiary Teaching Hospital: A Case Series

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