Uterine intramural bone after mid‐trimester termination of pregnancy may not affect fertility: a case report | Zendy

Van den Bosch T. | Zendy; Van Schoubroeck D. | Zendy; Timmerman D. | Zendy; Deprest J. | Zendy

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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.

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