A Successful Pregnancy Despite the Presence of an Intrauterine Fetal Bone Fragment

Evangelos Petrakis,Panagiota Siemou,Dimitrios Loutradis,Ioannis K Papapanagiotou,Panagiotis Fotinopoulos,Konstantinos Ntzeros,Ioannis Chatzipapas

doi:10.1155/2019/3064727

Evangelos Petrakis, Panagiota Siemou + Show 5 more

Open Access

https://doi.org/10.1155/2019/3064727

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Abstract

Objective Intrauterine retention of fetal bones following a termination of a pregnancy is a rare complication. Among the few reported cases in literature, there has been no report describing the birth of a live fetus, despite the presence of an embryonic ossicle within the endometrial cavity. Case Report A 28-year-old woman, with an obstetrical history of a miscarriage at the 19th week of gestation, underwent a diagnostic hysteroscopy for evaluation of pelvic pain and infertility, which revealed an intrauterine embryonic ossicle. The patient did not comply with our recommendations to undergo a surgical hysteroscopy. The patient's next visit was during her 9th week of gestation. She was followed up regularly at our Obstetrics Department. Her gestation was uneventful, while an elective caesarean section at the 39th week of gestation was performed. Conclusion The present clinical case has demonstrated that achieving childbearing is possible, despite the requirement of removing such bone fragments.

Highlights

Intrauterine retention of fetal bones following a termination of a pregnancy in the second and third trimester of gestation is correlated with high rates of spontaneous miscarriages
It is a rare complication as it is observed in 0.15% [1] of the women undergoing diagnostic hysteroscopy for investigation of secondary infertility and a history of a recent termination of a pregnancy
Bony fragments usually imitate the role of intrauterine contraceptive devices (ICD) by stimulating the secretion of endometrial prostaglandins, resulting in secondary infertility

Summary

Objective

Intrauterine retention of fetal bones following a termination of a pregnancy is a rare complication. Among the few reported cases in literature, there has been no report describing the birth of a live fetus, despite the presence of an embryonic ossicle within the endometrial cavity. A 28-year-old woman, with an obstetrical history of a miscarriage at the 19th week of gestation, underwent a diagnostic hysteroscopy for evaluation of pelvic pain and infertility, which revealed an intrauterine embryonic ossicle. E patient’s visit was during her 9th week of gestation. She was followed up regularly at our Obstetrics Department. Her gestation was uneventful, while an elective caesarean section at the 39th week of gestation was performed. E present clinical case has demonstrated that achieving childbearing is possible, despite the requirement of removing such bone fragments Conclusion. e present clinical case has demonstrated that achieving childbearing is possible, despite the requirement of removing such bone fragments

Introduction

Case Presentation

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Discussion