Cervicovaginal fistula secondary to embedded fetal bones: a case report.
BACKGROUND
Embedded fetal bone after surgical termination of midtrimester pregnancy is a recognized complication. Most cases occur in the uterine cavity; however, this case demonstrates that a cervicovaginal fistula can be caused by embedment of bone in the cervical canal.


METHODS
A 19-year-old girl presented with persistent smelly vaginal discharge 4 years after surgical pregnancy termination. On examination she had a cervicovaginal fistula with embedded fetal bone that was subsequently removed surgically.


CONCLUSIONS
Cervicovaginal fistula can be a complication of surgical termination of midtrimester pregnancy as fetal bones can become embedded in the cervical canal during removal.
Cheung
Grace W Y
GW
Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Shatin, New Territories, Hong Kong. gcheung@cuhk.edu.hk
Fan
Tak Chung
TC
Fung
Tak Yuen
TY
D037881:Aborted Fetus; D000028:Abortion, Induced / Q000009:adverse effects*; D000328:Adult; D001842:Bone and Bones / Q000473:pathology; D002584:Cervix Uteri / Q000473:pathology*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D014624:Vaginal Fistula / Q000209:etiology* / Q000473:pathology