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Retained fetal bones two years after midtrimester dilation and evacuation: a case report.
Cinna Toy Wohlmuth1, Tikvah Myers
1Department of Obstetrics and Gynecology, White Memorial Medical Center, 1720 Cesar E. Chavez Avenue, Los Angeles, CA 90033, USA. wohlmuct@ah.org
The Journal of Reproductive Medicine
|October 21, 2011
Summary
Retained fetal bones after pregnancy termination can cause persistent symptoms for years. Hysteroscopic removal resolved a 2-year history of vaginal discharge in one patient, highlighting diagnostic challenges.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
- Obstetrics
Background:
- Retained fetal parts are a rare complication following pregnancy termination procedures.
- This case details retained fetal bones presenting two years after a midtrimester dilation and evacuation (D&E).
Observation:
- A 27-year-old woman experienced persistent vaginal discharge for two years despite multiple treatments.
- Hysteroscopy revealed immature bone fragments, which were subsequently removed.
Findings:
- Retained fetal bone fragments can lead to chronic symptoms such as vaginal discharge, pelvic pain, and infertility.
- Symptoms may be nonspecific and mimic other gynecologic conditions, posing diagnostic challenges.
Implications:
- Timely diagnosis and treatment of retained fetal parts are crucial for patient recovery.
- This case underscores the importance of considering retained fetal parts in the differential diagnosis of chronic gynecologic symptoms.
- Hysteroscopic removal offers a minimally invasive therapeutic option for retained fetal parts.
