Pelvic pain due to intrauterine retention of fetal bone after second trimester medical termination of pregnancy: a rare case report

Abstract

Intrauterine retention of fetal bone is a rare complication of second trimester termination of pregnancy. These patients may present with abnormal uterine bleeding, dysmenorrhea and secondary infertility. In this case pelvic pain was the only symptom. A 32-year-old woman with history of second trimester medical termination of pregnancy was examined. Pelvic ultrasound revealed retained products of conception. After surgical evacuation, intrauterine retained fetal bone was identified to be the cause of pelvic pain. In patients with history of second trimester abortion, cause of pelvic pain should be properly evaluated.

Prolonged Intrauterine Fetal Bone Retention Following a Neglected Pregnancy: A Case Report

“…Since bones can act as an intra-uterine contraceptive device, infertility is the most common reported symptom. Therefore, despite its rarity, this condition should be considered as a cause of secondary infertility (5). Based on literature, these cases have been mainly discovered in low educated and low socioeconomic classes of societies and in areas with inadequate health care facilities (6).…”

Intrauterine bony fragments - An unexpected finding in the hysterectomy specimen

“…Other cases presented with pelvic pain, vaginal discharge and, abnormal uterine bleeding. [8][9][10] In their global, comprehensive, and systematic review on IUBF, Khan et al 11 reviewed 293 cases reported between the years 1928 and 2013. In this study, the mean ± SD age at presentation was 32.7 ± 8.9.…”