Author/Authors :
Hajihashemi ، Maryam Department of Gynecology and Obstetrics - School of Medicine - Isfahan University of Medical Sciences , Mohammadizadeh ، Fereshteh Department of Pathology - School of Medicine - Isfahan University of Medical Sciences , Mohamadi Jazi ، Behnoosh Department of Pathology - School of Medicine - Isfahan University of Medical Sciences , Pezeshki ، Amirhossein Department of Pathology - School of Medicine - Isfahan University of Medical Sciences , Mousavi Seresht ، Leila Department of Gynecology and Obstetrics - School of Medicine - Isfahan University of Medical Sciences , Hagholahi ، Fedyeh Family Health Institute, Vali-e-Asr Reproductive Health Research Center - Tehran University of Medical Sciences
Abstract :
We describe a case of prolonged intrauterine fetal bone retention following a neglected pregnancy. A 43-year-old rural woman had one year history of malodorous vaginal discharge. She underwent medical treatment with broad spectrum antibiotics. Four days following the onset of antibiotic therapy, cystoscopy and hysteroscopy were done. Incredibly, some bony-like pieces were extracted by instrument from endocervical canal. Intrauterine retention of fetal bones, although rare, should be considered as a possibility in cases with unexplained abdominal pain, dysmenorrhea, dyspareunia, and long period infertility. Hysteroscopy is the best modality for diagnosis and may be enough for management of the condition in many cases. However, in complicated cases, hysterectomy would be inevitable.
