Uterine intramural bone after mid-trimester termination of pregnancy may not affect fertility: a case report.
We present a case of a 27-year-old asymptomatic woman, gravida 2 para 0 abortus 2, diagnosed with uterine intramural fetal bone 30 days after a mid-trimester termination of pregnancy (TOP) by dilatation and evacuation (D&E). On ultrasound part of a fetal spine was seen within the right lateral isthmocervical area, adjacent to the descending branch of the uterine artery. Within 4 months after TOP the patient conceived again. This case illustrates the risk of myometrial penetration during mid-trimester TOP by D&E. Removal of intramural bony fragments may not be needed in an asymptomatic patient, as their presence does not seem to compromise fertility.
Van den Bosch
T
T
Department of Obstetrics and Gynaecology, A.Z. Heilig Hart, Tienen, Belgium. thierry.van.den_bosch@pi.be
Van Schoubroeck
D
D
Timmerman
D
D
Deprest
J
J
D000027:Abortion, Incomplete / Q000150:complications*; D000028:Abortion, Induced / Q000009:adverse effects*; D000328:Adult; D001842:Bone and Bones; D004107:Dilatation and Curettage; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D007247:Infertility, Female / Q000209:etiology*; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D014599:Uterus