Okohue Jude Ehiabhi
Gynescope Specialist Hospital and Department of Obstetrics and Gynaecology, Madonna University Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
Int J Womens Health. 2019 Aug 6;11:439-441. doi: 10.2147/IJWH.S206808. eCollection 2019.
Twin pregnancies are increasing due to assisted reproductive techniques. Following the death of one twin in-utero, the surviving and dead twin are removed from the uterine cavity at delivery. This is a report of a 38-year-old para 0 woman who experienced fetal demise of one of a set of twins at 20 weeks of gestation. She had an elective cesarean section during which the dead twin was forgotten in the uterine cavity. She presented with profuse vaginal discharge that was sterile on culture. An ultrasound scan showed the presence of several echogenic substances within the endometrial cavity. These substances were hysteroscopically removed and confirmed by histology to be fetal bones. The vaginal discharge subsequently stopped. In conclusion, uterine revision should always be performed during cesarean section to prevent such an occurrence.
由于辅助生殖技术，双胎妊娠正在增加。在子宫内一个胎儿死亡后，存活胎儿和死亡胎儿在分娩时从子宫腔中取出。本文报告一例38岁初产妇，在妊娠20周时其中一个双胎胎儿死亡。她接受了择期剖宫产，术中死亡胎儿被遗忘在子宫腔内。她出现大量阴道分泌物，培养无菌。超声扫描显示子宫内膜腔内有多个强回声物质。这些物质经宫腔镜切除，组织学证实为胎儿骨骼。阴道分泌物随后停止。总之，剖宫产时应始终进行子宫检查以防止此类情况发生。
