Mishra Nitu, Bharti Rekha, Mittal Pratima, Suri Jyotsna, Pandey Divya
Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, IND.
Cureus. 2018 May 3;10(5):e2575. doi: 10.7759/cureus.2575.
Termination of pregnancy (abortion) is a reasonably safe procedure when properly performed. However, even after being performed with due precautions, complications may occur. Retention of fetal products following a mid-trimester abortion is a rare complication of abortion which can then result in secondary infertility. We are here presenting the case of a young woman who underwent an abortion in the 15th week of gestation due to anencephaly in the fetus and who then failed to conceive for the next five years. Transvaginal ultrasonographic examination suggested the presence of bone-like structures in the uterine cavity which were removed hysteroscopically. The patient was able to conceive after the hysteroscopic removal of bony fragments. Retained bony fragments from a previous mid-trimester abortion should thus be kept in the list of differentials of secondary infertility.
妊娠终止(流产)在正确实施时是一种相对安全的手术。然而,即使在采取了适当的预防措施后进行,仍可能发生并发症。孕中期流产后胎儿组织残留是流产的一种罕见并发症,可能导致继发性不孕。我们在此报告一例年轻女性的病例,该女性因胎儿无脑儿在妊娠第15周进行了流产,随后在接下来的五年里未能受孕。经阴道超声检查提示宫腔内存在骨样结构,遂通过宫腔镜将其取出。患者在宫腔镜下取出骨碎片后能够受孕。因此,既往孕中期流产后残留的骨碎片应列入继发性不孕的鉴别诊断清单中。