DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20175300

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

Meena Bhati Salvi, Madhubala Chauhan

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.


Keywords


Intrauterine retention of fetal bone, Medical termination of pregnancy (MTP), Pelvic pain, Pelvic inflammatory disease (PID), Retained products of conception (RPOCs)

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References


Chowhan AK, Rukmangadha N, Babu SKV, Patnayak R, Phaneendra BV, Devi VM. Retained intrauterine fetal bones: a rare cause of secondary infertility leading to diagnostic dilemma. J Clin Sci Res. 2012;1:103-5.

Nupur G, Neeta S, Suneeta M, Renu M, Vatsla D. Intrauterine retention of fetal bones: an unusual cause of pelvic pain. J Obstet Gynecol India. 2009;59(6):584-5.

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

Verma U, Chong D, Perez I, Medina C. Fetal bones retained in the uterine cavity as a rare cause of chronic pelvic pain: a case report. J Reprod Med 2004;49:853-5.

Moon HS, Park YH, Kwon HY, Hong SH, Kim SK. Iatrogenic secondary infertility caused by residual intrauterine fetal bone after midtrimester abortion. Am J Obstet Gynecol. 1997;176:369-70.

Taylor PJ, Hamou J, Mencaglia L. Hysteroscopic detection of heterotopic intrauterine bone formation. J Reprod Med. 1988;33:337-9.