International Journal of Reproductive BioMedicine
Research and Clinical Center for Infertility, Shahid Sadoughi University of Medical Sciences of Yazd
Vol. 17, No. 8, 2019, pp. 591-594
Bioline Code: rm19064
Full paper language: English
Document type: Case Report
Document available free of charge
International Journal of Reproductive BioMedicine, Vol. 17, No. 8, 2019, pp. 591-594
© Copyright 2019 - Atossa Mahdavi et al.
Secondary infertility due to intrauterine fetal bone retention: A case report and review of the literature|
Mahdavi, Atossa; Kazemian, Sasan & Koohestani, Emad
Background: Intrauterine retention of fetal bone fragments is a rare condition that could
happen after abortion (especially illegal abortion). It can cause secondary infertility as
bon fragments can work as an intrauterine contraceptive device.
Case: A 25-year-old Iranian woman was referred to Shariati Hospital due to infertility.
During infertility work up to normal semen analysis, adequate ovarian reserve
with regular ovulatory cycles was documented. An ultrasound scan revealed focal
echogenic shadowing lesions inside the uterine cavity. Hysteroscopy was conducted
and many intrauterine bone fragments were revealed. Six months after hysteroscopic
removal of fetal bones, the patient became pregnant and delivered a healthy and term
Conclusion: Intrauterine fetal bone retention is a scarce event that happens
after pregnancy termination due to the incomplete evacuation of fetal tissues.
It can cause dysfunctional uterine bleeding, menorrhagia, dysmenorrhea, pelvic
pain, abnormal vaginal discharge, and secondary infertility. The detection of the
problem and the removal of the remained bones by hysteroscopy have made
possible to treat the patient safely and restore normal uterine function and female
Bone; Infertility; Hysteroscopy; Pregnancy; Abortion.
Alternative site location: http://www.ijrm.ir