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Uterine intramural bone after mid‐trimester termination of pregnancy may not affect fertility: a case report
Author(s) -
Van den Bosch T.,
Van Schoubroeck D.,
Timmerman D.,
Deprest J.
Publication year - 2003
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.220
Subject(s) - medicine , asymptomatic , fertility , pregnancy , obstetrics , first trimester , gynecology , fetus , surgery , population , environmental health , biology , genetics
We present a case of a 27‐year‐old asymptomatic woman, gravida 2 para 0 abortus 2, diagnosed with uterine intramural fetal bone 30 days after a mid‐trimester termination of pregnancy (TOP) by dilatation and evacuation (D&E). On ultrasound part of a fetal spine was seen within the right lateral isthmocervical area, adjacent to the descending branch of the uterine artery. Within 4 months after TOP the patient conceived again. This case illustrates the risk of myometrial penetration during mid‐trimester TOP by D&E. Removal of intramural bony fragments may not be needed in an asymptomatic patient, as their presence does not seem to compromise fertility. Copyright © 2003 ISUOG. Published by John Wiley & Sons, Ltd.