Property | Value |
Name | A rare case of abnormal uterine bleeding due to retention of fetal bones in uterine cavity. |
Description | Case report:- Obstetrics and Gynecology Chaudhari shilpa N.1*, Gaikwad Vidya A.1,Mahajan Vinayak2& Bamane Shubhangi3 1M.D. (Obstetrics and Gynecology) Professor, 2M.D. (Obstetrics and Gynecology) Lecturer, 3M.B.B.S. Senior Resident, Dept of OBGY, Padmashree Dr.D.Y.Patil Medical College and Research Centre, Pimpri, Pune, India
Abstract:- There are many causes of abnormal uterine bleeding (AUB) like fibroids, polyps, endometrial hyperplasia and malignancy. But prolonged retention of fetal bones after abortion as an etiology for AUB is a rare one. Incidence given in only one study was 0.15% where fetal bones were found on Diagnostic hysteroscopy. A 24 years woman, presented with pain in lower abdomen and continuous bleeding per-vaginum for 2 months. Her transvaginal ultrasonography showed hyperechogenic shadow in uterine cavity .She underwent an office hysteroscopy which showed multiple fetal bones in the uterine cavity. They were removed in the same sitting.
Key words:- Abnormal uterine bleeding, Hysteroscopy, Retained intrauterine fetal bones, Transvaginal ultrasonography. References:- 1.Kalu E, Richardson R. Retained foetal bones: an intrauterine cause of chronic pelvic pain. Arch Gynecol Obstet. 2009, Feb; 279(2): 233-4. PMID: 18506460 2.Makris N, Stefanidis K, Loutradis D, Anastasiadou K, Hatjipappas G, Antsaklis A. The incidence of retained fetal bone revealed in 2000 diagnostic hysteroscopies. JSLS. 2006, Jan-Mar; 10(1):76-7. PMID: 16709364 3.Shalev J, Meizner I, Bar-Hava I, Dicker D, Mashiach R, Ben-Rafael Z. Fertil Steril. Predictive value of transvaginal sonography performed before routine diagnostic hysteroscopy for evaluation of infertility. 2000, Feb; 73(2):412-7. PMID 10685552. 4.Verma U, et. al. Fetal bones retained in uterine cavity as a rare cause of chronic pelvic pain: Case Report. J Reprod Med 2004, Oct; 49(10):853-5. PMID: 15568412. 5.Chervenak FA, et. al. Symptomatic intrauterine retention of fetal bones. Obstet Gynecol 1982; 59:58–61. PMID: 7088429. 6.Chan NS. Intrauterine retention of fetal bone. Aust N Z J Obstet Gynaecol. 1996, Aug; 36(3):368-71. PMID: 8883773 7.Vercellini P, Cortesi I, Oldani S, Moschetta M, De Giorgi O, Crosignani PG. The role of transvaginal ultrasonography and outpatient diagnostic hysteroscopy in the evaluation of patients with menorrhagia. Hum Reprod. 1997, Aug; 12(8):1768-71. PMID: 9308809 8.Towbin NA, Gviazda IM, March CM. Office hysteroscopy versus transvaginal ultrasonography in the evaluation of patients with excessive uterine bleeding. Am J Obstet Gynecol. 1996 Jun; 174(6):1678-82. PMID: 8678126.
Copyright © 2013 Chaudhari shilpa et al.. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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