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Case Report

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

Rajeshwari Laxman Khyade, Assistant Professor, Department of Obstetrics, KJ Somaiya Medical College and Hospital, Sion, Mumbai400 022, India. , Rajeshwari Laxman Khyade* , Pundalik Sonawane** , Geeta Niyogi**

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Indian Journal of Obstetrics and Gynecology 5(2):p 132-134, April - June 2017. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5217.25

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Abstract

Intrauterine retention of fetal bone is a rare complication of abortion, causing menorrhagia, irregular menstrual cycle, secondary infertility, chronic pelvic pain, dysmenorrhea, and vaginal discharge. A 25year old female P1L1MTP1 came with complaints of menorrhagia, irregular menstrual cycle, and secondary infertility with previous history of MTP done for lactational amenorrhea. USG was suggestive of hyper echogenic linear shadow in uterine cavity? Foreign body? IUCD ?endometrium with bone tissue. On hysteroscopy multiple bones were seen, one long bone was occupying both Ostia. Removal of fetal bones was done using hysteroscopic grasper in the same sitting. Patient resumed her normal menstrual cycle and later conceived spontaneously. Hysteroscopy is a gold standard for diagnosis and treatment of fetal bones in the uterine cavity.

Keywords: Intrauterine Fetal Bone; Abortion; Menorrhagia; Infertility; Hysteroscopy. 

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5217.25

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