宫腔内残留胎儿骨骼作为慢性盆腔疼痛的罕见原因：一例报告
Fetal bones retained in the uterine cavity as a rare cause of chronic pelvic pain: a case report.
作者信息
Verma Usha, Chong Deborah, Perez Ileana, Medina Carlos
机构信息
Department of Obstetrics and Gynecology, University of Miami School of Medicine/Jackson Memorial Hospital, Miami, Florida 33130, USA.
出版信息
J Reprod Med. 2004 Oct;49(10):853-5.
BACKGROUND
Intrauterine retention of fetal bones is a rare complication of abortion. Abnormal uterine bleeding, dysmenorrhea and secondary infertility are the usual complaints. In this case the prolonged retention of fetal bones caused chronic pelvic pain. Hysteroscopic removal of the bones resulted in resolution of the chronic pelvic pain.
CASE
A 20-year-old woman with a history of multiple terminations of pregnancies, was seen in the clinic with a complaint of chronic pelvic pain. Ultrasound and sonohysterogram revealed the presence of a foreign body in the uterine cavity. Hysteroscopic removal of fetal bones was performed, and the patient's pelvic pain was resolved.
CONCLUSION
Intrauterine retention of fetal bones may result in chronic pelvic pain. In patients with history of abortion, the presence of fetal bones may cause chronic pelvic pain.
背景
胎儿骨骼宫内残留是流产的一种罕见并发症。常见症状为异常子宫出血、痛经和继发性不孕。在此病例中，胎儿骨骼的长期残留导致了慢性盆腔疼痛。宫腔镜下取出骨骼后，慢性盆腔疼痛得以缓解。
病例
一名20岁有多次终止妊娠史的女性因慢性盆腔疼痛前来诊所就诊。超声和子宫输卵管超声造影显示宫腔内有异物。进行了宫腔镜下胎儿骨骼取出术，患者的盆腔疼痛得以缓解。
结论
胎儿骨骼宫内残留可能导致慢性盆腔疼痛。有流产史的患者，胎儿骨骼的存在可能会引起慢性盆腔疼痛。
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