Retention Of Fetal Bones Research Articles

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

We describe a case of prolonged intrauterine fetal bone retention following a neglected pregnancy. A 43-year-old rural woman had one year history of malodorous vaginal discharge. She underwent medical treatment with broad spectrum antibiotics. Four days following the onset of antibiotic therapy, cystoscopy and hysteroscopy were done. Incredibly, some bony-like pieces were extracted by instrument from endocervical canal. Intrauterine retention of fetal bones, although rare, should be considered as a possibility in cases with unexplained abdominal pain, dysmenorrhea, dyspareunia, and long period infertility. Hysteroscopy is the best modality for diagnosis and may be enough for management of the condition in many cases. However, in complicated cases, hysterectomy would be inevitable.

Case of retained fetal femur acting as inert intrauterine device

Introduction: Retention of fetal bones is a rare but documented complication after dilation and curettage (D and C). Previous case reports have described instances of retention of multiple fetal bones or bony fragments. Case Report: We are presenting a case of a female with 1.5 years of secondary infertility due to retention of a single, intact, fetal femur bone following a therapeutic abortion 13 years prior. The bone was incidentally identified on follicle check ultrasound and was removed via hysteroscopy. The patient conceived one year later, which progressed to a full-term pregnancy. Conclusion: Retained bony fragments or intact bones should be considered as a possible cause of secondary infertility following therapeutic abortions, emphasizing the importance of ultrasound imaging in preliminary secondary infertility workup.

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

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

An unusual case of infertility: Retention of fetal bone

An unusual case of infertility: Retention of fetal bone

An unusual case of infertility: Retention of fetal bone

The challenge and issues of women procuring abortion had been documented for centuries. Most of these acts had been illegitimate, obtained from unlicensed health centres and had resulted in too many complications and death of some of the women. These post-abortal complications are mostly under-reported since they are done in secrecy and the victims themselves do not want to face the public stigmatization that goes with public knowledge that one did an abortion. These abortion clinics are illegal, not meant to offer such services, manned by improperly trained personnels. The environment may not be conducive, the instruments used may not be appropriate and also may not be properly sterilized. But they are highly patronized by desperate women and girls who got pregnant unintentionally and must terminate such pregnancies at all cost and any means. They cannot go to public hospitals or to most privately owned hospitals because abortion is a criminal act that may attract criminal prosecution and a jail term. So, the numerous undocumented abortions are done in these unsanitary centres. Some do well, but some end up with complications. Our report is one of such cases that ended with a peculiar complication that only manifested years afterwards. It was a unique case of a bony part of the aborted foetus that was retained in the Teenager’s uterus and caused infertility even after the she got married.

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

Background: Prolonged retention of fetal bones is often overlooked as a possible cause of infertility due to their rarity. The condition is more likely to occur in countries with restrictive aborti...

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

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.

A Case of Secondary Infertility Due to Retention of Fetal Bones in Cervix

A case of secondary infertility related with prolonged retention of fetal bones in cervix is presented. A 34-year-old nulliparous woman admitted to hospital with chronic pelvic pain, dyspareunia and 12-yearlong secondary infertility following an induced abortion due to fetal demise. Transvaginal ultrasonography (USG) revealed a linear echogenic area around the posterior cervical wall. Hysteroscopic examination confirmed the existence of an irregular calcified mass embedded in cervix. The mass turned out to be conglomerated fetal bone fragments which probably acted as an intrauterine device. After removal of the cervical mass, the patient conceived spontaneously within four months. The present case report emphasizes the significance of detailed history and through evaluation by transvaginal USG in case of secondary infertility following an induced or spontaneous abortion.

An Unexpected Cause of Miscarriage: Case Report and Literature Review

Abstract Background: Retention of fetal bones is a rare complication following a termination of pregnancy. Case: This case report describes a miscarriage that was diagnosed along with the discovery of fetal bones from a surgical termination of a previous advanced pregnancy. The patient chose conservative management of her miscarriage. A month later, she had a hysteroscopy to remove the bones. Results: The patient made a full recovery and decided to wait for a period of time before trying to conceive. Conclusions: This case highlights the importance of identifying the retention of fetal bones, as this not only has an impact on future fertility, but also has an impact on maintaining the viability of early pregnancy. These patients should be offered the option of surgical removal of the fetal bones to help reduce the risk of miscarriage in subsequent pregnancies. (J GYNECOL SURG 30:227)

Restoration of Fertility After Removal of Intrauterine Retained Fetal Bone

Abstract Backround: The presence of foreign intrauterine bodies is a rare finding in the investigation of secondary infertility. Case: The case of a 32-year-old woman with a 4-year history of secondary infertility. in which remains of fetal bone were found, and how extraction of these bones restored the patient's fertility, are discussed. Results: Removal of the retained bone fragments ended the patient's abdominal pain and polymenorrhea. She became pregnant 3 months after the hysteroscopy. Conclusions: Although the retention of fetal bone is an infrequent cause of infertility, it should be taken into account, to facilitate the possibility of easy resolution of the problem through outpatient procedures such as transvaginal ultrasound and hysteroscopy. (J GYNECOL SURG 28:58)

A new technique to biopsy both horns in a septate or bicornuate uterus

References Cayuela E, Perez-Medina T, Vilanova J, et al. 2009. True osseous metaplasia of the endometrium: the bone is not from a fetus. Fertility and Sterility 91:1293.e1 – e4. Graham O, Cheng LC, Parsons JH. 2000. Th e ultrasound diagnosis of retained fetal bones in West African patients complaining of infertility. British Journal of Obstetrics and Gynaecology 107:122 – 124. Jegede AS, Fayemiwo AS. 2010. Cultural and ethical challenges of assisted reproductive technologies in the management of infertility among the Yoruba of Southwestern Nigeria. African Journal of Reproductive Health 14:115 – 127. Sahinoglu Z, Kuyumcuoglu U. 2003. An unusual case of postmenopausal vaginal bleeding: retention of fetal bone. Archives of Gynecology and Obstetrics 2:160 – 162.

Intrauterine fetal bone retention after late-term abortion by external force in the 20th week of pregnancy

Intrauterine retention of fetal bones is a rare complication of spontaneous miscarriages or termination of pregnancy. We present a case with fetal bone retention after a miscarriage that occurred after external assault in about the 20th week of gestation. Since the global mobility has rapidly increased, women from a totally different lifeworld (i.e. escaping from civil war areas in underdeveloped countries) could abruptly present themselves as patients in industrial countries, so every physician should be aware of the described implications.

Secondary infertility caused by the retention of fetal bones after an abortion: a case report

IntroductionUnwanted contraception through prolonged retention of fetal bone is a rare cause of secondary infertility. It is usually associated with a history of abortion, either spontaneous or induced.Case presentationWe describe a case of intrauterine retention of fetal bone diagnosed 8 years after the termination of a pregnancy. The patient had no complaints of pain, irregular vaginal bleeding or discharge. A hysteroscopy was performed and irregular structures were removed. These fragments were fetal bones, which probably functioned as an intrauterine contraceptive device. After removal of the fetal bone fragments the patient conceived spontaneously within 6 months.ConclusionThis case report stresses the importance of taking a thorough history and evaluation of the endometrium by transvaginal ultrasound or hysteroscopy in women with secondary infertility.

An Unusual Case of Pelvic Pain: Retention of Fetal Bone after Abortion

We present a 21-year-old woman with a short history of pelvic pain. The history was unremarkable apart from that of undergoing a surgical termination of pregnancy (TOP) some three-and-half years ago. Examination revealed a foreign body at the cervical os. Subsequent investigations revealed more foreign bodies within the cervical canal and uterine cavity, which were removed. Histologically these were found to be bones. Removal of the bone fragment initially discovered lead to an improvement of symptoms. Although the patient was treated for pelvic-inflammatory disease, no infective cause could be established. The condition of intrauterine retained fetal bones is recognized, but rare. Patients experiencing pelvic pain usually present sooner after TOP than did this patient. Although rare, it is an important condition to diagnose as it represents a treatable cause of infertility.

Endometrial ossification successfully treated by hysteroscopic resection

Background: Endometrial ossification is a rare condition. The common feature in most reported cases is a previous history of abortion and retention of fetal bones. Few cases of endometrial ossification can be explained by osseous metaplasia. Clinical presentation may include abnormal vaginal bleeding or discharge, dysmenorrhoea, pelvic pain, and secondary infertility. Hysterectomy or dilation and curettage have been the usual therapeutic methods used. Recently, some cases have been treated by means of hysteroscopic resection. Case: We report a case of endometrial ossification in a woman who presented with dysmenorrhoea, dyspareunia and pelvic pain. The patient had a pregnancy voluntarily terminated at 16 weeks. Five subsequent routine annual gynaecological exams, including ultrasonographies, were normal. A new gestation was also voluntarily terminated at 6 weeks. One month later the patient started with clinical manifestations. Ultrasonograms performed 4 months after the second abortion revealed a strong uterine echogenic band. Bone tissue was successfully removed by hysteroscopic resection. Conclusion: This case adds further evidence favouring new bone formation in the uterus as a pathogenic mechanism for endometrial ossification and illustrates the feasibility of hysteroscopic treatment for this condition.

Prolonged retention of fetal bones with osseous metaplasia of the endometrium

Prolonged retention of fetal bones with osseous metaplasia of the endometrium

Retention of fetal bones 8 years following termination of pregnancy.

We report on an unusual case where bone had been retained in the endometrium for a period of 8 years following termination, causing no symptoms except subfertility. Routine ultrasonography diagnosed the foreign body and this was removed by hysteroscopy assisted by ultrasound scanning. Pregnancy resulted after 6 months. A review of the literature is presented.

Retained fetal bones in chronic tubal pregnancy

In a small number of ectopic gestations, the fallopian tube is able to expand sufficiently to contain an enlarging fetus, and escaping the hazard of first-trimester rupture, pregnancy advances into the second and third trimesters.’ Although the literature contains several descriptions of retained products of conception following abdominal pregnancies, very little has been written about such retention in fallopian tube gestations. The following case report describes an example of a f’allopian tube pregnancy with retention of fetal bones.

Prolonged intrauterine retention of fetal bones after abortion causing infertility

This case study discusses a patient with prolonged intrauterine retention of parts of the fetal skeleton. A 22 year old black woman presented with secondary infertility. After almost 1 year of attempted diagnosis, a hysteroscopy was performed and a white-appearing tubular structure which was similar to the noncopper-bearing portion of an IUD appeared to be embedded in the fundus. Removal was difficult and the removed segments proved to be bone. Results indicated there were bits of fetal bone partially embedded at the fundal portion of the uterus for 6 years after an induced abortion. Curettage yielded several more bone bits; repeat hysteroscopy confirmed that the uterus was empty. The patient have an uneventful postoperative recovery and is being followed up. There appears to be no other previously published report of fetal bones retained for up to 5 years after an abortion by dilatation and curettage. These bones could have contributed to this patient's postabortion infection. The value of hysteroscopy was clearly demonstrated in this case. Curettage alone could have missed the bones but hysteroscopy enabled the physicians to visualize the bones and their location. The authors speculate that the presence of the bones acted as a uterine synechia or an IUD and thus prevented pregnancy. It is also possible that the presence of bones near the fundal region elevated endometrial postaglandin F2alpha concentration in that region and rendered her infertile.

A case of retention of fetal bones in the uterine cavity after an abortion for six years

Cases with prolonged retention of fetal bones in the uterine cavity after abortion are described by many authors. Boomm reports a case of bone retention in a three-month-old fetus that lasted a year and a half after an induced abortion. Thaler describes a three-month retention of fetal bones after an artificial abortion, Meyer-Rugge - a retention of the bones of a three-month-old fetus within 16 months after an induced abortion. Fleshlein reports the same case as M. Rugge. In Lacko's case, the bones of a six-month-old fetus lay after a miscarriage for 6 years. Giss discovered the bones of a five-month-old fetus that had been lying for three years. Mullebrane found the bones of a 6-month-old fetus in the uterus, which had lain in it for 11 years after the induced abortion.