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Year : 2012  |  Volume : 1  |  Issue : 2  |  Page : 103-105

Retained intrauterine foetal bones: A rare cause of secondary infertility leading to diagnostic dilemma

1 Department of Pathology, Sri Venkateswara Institute of Medical Sciences, Tirupati, India
2 Department of Transfusion Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati, India
3 Department of Obstetrics & Gynaecology, Lakshmikishore Hospital, Proddatur, India

Correspondence Address:
A K Chowhan
Assistant Professor, Department of Pathology, Sri Venkateswara [nstitute of Medical Sciences, Tirupati 517507
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Source of Support: None, Conflict of Interest: None

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The presence of intrauterine bone fragments is rare. These patients may present with pelvic pain, dysmenorrhoea, abnormal uterine bleeding and secondary infertility. We present a case of a 36-year old woman complaining of dysfunctional uterine bleeding with secondary infertility of six years duration. Detailed history, pelvic ultrasonography, hysteroscopy and histopathological examination of the hysteroscopically evacuated uterine cavity fragments were performed. Morphological examination revealed interesting presence of some tiny bony chips along with endometrial tissue. Intrauterine retained foetal bony chips due to previous medical termination of pregnancy was identified to be the cause of secondary infertility in the present case. Our case reiterates the importance of analyzing detailed clinical history in the evaluation of patients with secondary infertility.

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