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

作　　者：Okafor Love Chimezirim Ogoke Nwakamma Chisom William Oladiran Taiwo Simon Joseph Adagadzu Kingsley Iyoko Iseko Aminyene Essien Meraiyebu Okafor Love Chimezirim;Ogoke Nwakamma Chisom;William Oladiran Taiwo;Simon Joseph Adagadzu;Kingsley Iyoko Iseko;Aminyene Essien Meraiyebu(Department of Obstetrics and Gynaecology, The Limi Hospital, Abuja, Nigeria;Department of Anaesthesia, The Limi Hospital, Abuja, Nigeria;Department of Radiology, The Limi Hospital, Abuja, Nigeria)

机构地区：[1]Department of Obstetrics and Gynaecology, The Limi Hospital, Abuja, Nigeria [2]Department of Anaesthesia, The Limi Hospital, Abuja, Nigeria [3]Department of Radiology, The Limi Hospital, Abuja, Nigeria

出　　处：《Open Journal of Obstetrics and Gynecology》2023年第11期1881-1885,共5页妇产科期刊（英文）

摘　　要：Background: Retention of fetal bones is a rare cause of abnormal uterine bleeding. Others may present as subfertility, chronic pelvic pain, abnormal vaginal discharge, menometrorrhagia, dysmenorrhea and spontaneous expulsion of bony fragments. Incidence is 0.26% among patients undergoing hysteroscopy. Aim: To document a pattern of presentation of retained fetal bone and its management. Case Presentation: Our patient is an 18-year old who presented with vaginal bleeding of four weeks duration and managed for abnormal uterine bleeding due to retained fetal bone following second trimester abortion. Conclusion: The use of transvaginal ultrasound in making diagnosis of retained fetal bone is effective. Treatment by removal of bones through evacuation by dilatation and curettage or hysteroscopy brings about resolution of symptoms. Use of pelvic ultrasonography to confirm complete evacuation of the uterus after abortion especially second trimester abortion could aid in early diagnosis and management of incomplete abortion.Background: Retention of fetal bones is a rare cause of abnormal uterine bleeding. Others may present as subfertility, chronic pelvic pain, abnormal vaginal discharge, menometrorrhagia, dysmenorrhea and spontaneous expulsion of bony fragments. Incidence is 0.26% among patients undergoing hysteroscopy. Aim: To document a pattern of presentation of retained fetal bone and its management. Case Presentation: Our patient is an 18-year old who presented with vaginal bleeding of four weeks duration and managed for abnormal uterine bleeding due to retained fetal bone following second trimester abortion. Conclusion: The use of transvaginal ultrasound in making diagnosis of retained fetal bone is effective. Treatment by removal of bones through evacuation by dilatation and curettage or hysteroscopy brings about resolution of symptoms. Use of pelvic ultrasonography to confirm complete evacuation of the uterus after abortion especially second trimester abortion could aid in early diagnosis and management of incomplete abortion.

关 键 词：Abnormal Uterine Bleeding Retained Fetal Bones ABORTION Transvaginal Ultrasound Dilatation and Curettage HYSTEROSCOPY 

分 类 号：R57[医药卫生—消化系统]