Novel treatment of a patient with secondary infertility due to retained fetal bone.
OBJECTIVE
To describe a simple and previously unreported treatment for retained fetal bone fragments as a cause of secondary infertility.


METHODS
Fertility center at a Canadian teaching hospital.


METHODS
Case report.


METHODS
A 36-year-old woman with a 15-year history of secondary infertility.


METHODS
A second dilation and curettage (D+C) performed under abdominal ultrasound guidance was performed where the curette could be directed for the removal of echogenic endometrial foci.


METHODS
Resolution of long-term infertility.


RESULTS
Spontaneous pregnancy 4 months after ultrasound-guided D+C and subsequent term delivery.


CONCLUSIONS
If an echogenic area is discovered in the endometrium, it is now standard to look at the uterine cavity by hysteroscopy. However, if the hysteroscopy is normal, we suggest that a D+C with intraoperative abdominal ultrasound assistance be done to ensure that all the abnormal tissue is removed.
Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada.
Kimberly
K
Elford
Paul
P
Claman
D000027:Abortion, Incomplete / Q000150:complications* / Q000473:pathology; D000328:Adult; D001842:Bone and Bones; D004107:Dilatation and Curettage / Q000379:methods; D004717:Endometrium / Q000473:pathology; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology* / Q000601:surgery*; D008297:Male; D011247:Pregnancy