INTRAUTERINE RETENTION OF FETAL BONE

A case of secondary infertility, dysmenorrhoea and menorrhagia due to retained fetal bone is presented. Retained fetal bones should be consi dered in all patients with infertility, dysfunctional uterine bleeding , dysmenorrhoea or other symptoms dating from a pregnancy or pregnancy termination. Ultrasound is an excellent modality for evaluating these patients, Ultrasound is also very useful for the follow-up of patient s after surgical removal of the bony fragments. Some bony fragments ma y be embedded in the endometrium or myometrium and may not be identifi ed at curettage. Hysteroscopy is valuable in both establishing the dia gnosis and the removal of bony fragments. A crucial aspect of the proc edure involves reintroduction of the hysteroscope to document that the cavity is clear after attempts at bone removal are complete. After re moval of bony fragments, restoration of fertility and improvement of s ymptoms are expected.