DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20161712

Retained fetal bones: an unusual cause of abnormal uterine bleeding

Sonia Chawla, Sandhya Jain, Swati Sharma, Shalini Rajaram, Neerja Goel

Abstract


Abnormal uterine bleeding (AUB) is a common gynaecological problem with most common causes being fibroid, polyp, endometritis, neoplasia and coagulation disorder. Presence of retained intrauterine fetal bones as a cause of AUB, is a rare but well recognized entity. Patient may present with subfertility, secondary infertility, chronic pelvic pain, vaginal discharge, pelvic inflammatory disease, abnormal uterine bleeding. Incidence reported in literature is 0.15% among patients undergoing diagnostic hysteroscopy. Calcification appears as hyperechoeic area on ultrasound. Hysteroscopy guided removal of bony fragments is the gold standard and leads to complete resolution of symptoms.

Keywords


Abnormal uterine bleeding, Bony fragment, Infertility

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References


Kotagasti T. Prevalence of different menstrual irregularities in women with abnormal uterine bleeding- an observational study. Int J Curr Res Rev 2015;7(10):66-70.

Basu M, Mammen C, Owe E. Bony fragments in the uterus: an association with secondary subfertility. Ultrasound Obstet Gynecol. 2003;22:402-6.

Srofenyoh E, Addison M, Dortey B, Kuffour P. Intrauterine retained fetal bones as a cause of secondary infertility. Ghana Med J. 2006;40(3):105-9.

Fernandes G, Patil A, Samant PY, Parulekar SV. Endometrial osseous metaplasia. J Postgraduate Gyne Obst. Available at: http:// www.jpgo.org / 2014 / 08/ endometrial- osseous-metaplasia.html. Accessed 20 March 2016.

Makris N, Stefanidis K, Loutradis D, Anastasiadou K, Hatjipappas G, Antsaklis A. The incidence of retained fetal bone revealed in 2000 diagnostic hysteroscopies. J Society Laparoendoscopic Surg. 2006;10(1):76-7.

Singla A, Gupta B, Guleria K. First trimester abortion: a rare cause of intrauterine bony spicules. Case Rep Obstet Gynecol. 2012;2012:701021

Kazakov BJ, Khankoev IM, Pererva VV. Results of hysteroscopic method of foreign body removal out of uterus cavity. J Am Assoc Gynecol Laparosc 1994;1:16.