Unexpected discovery of fetal bones instead of an intrauterine device: A unique gynecological case report.

Fetal bone retention gynecological emergency intrauterine device misdiagnosis ultrasound diagnostic limits uterine hemorrhage

Journal

SAGE open medical case reports
ISSN: 2050-313X
Titre abrégé: SAGE Open Med Case Rep
Pays: England
ID NLM: 101638686

Informations de publication

Date de publication:
2024
Historique:
received: 25 11 2023
accepted: 06 04 2024
medline: 17 5 2024
pubmed: 17 5 2024
entrez: 17 5 2024
Statut: epublish

Résumé

This case report details an unusual and unexpected finding in a 37-year-old woman with a history of two cesarean sections, who had an intrauterine device implanted. The patient presented with symptoms of abnormal uterine bleeding and dysmenorrhea. An initial ultrasound confirmed the presence of the intrauterine device. However, a startling discovery was made during the intrauterine device removal procedure: fetal bones were found within the patient. This case underscores the importance of thorough diagnostic evaluations in gynecological practice, particularly when dealing with patients who have complex gynecological histories. Significantly, it brings to light the necessity of employing hysteroscopy for comprehensive diagnostic assessment in cases of abnormal uterine bleeding post-abortion. This approach could aid in identifying rare and unexpected findings, such as retained fetal bones, which might be missed by conventional ultrasound. The report emphasizes the need for vigilance and thoroughness in gynecological examinations and contributes to the understanding of potential complications and anomalies associated with intrauterine device usage and post-abortion care.

Identifiants

pubmed: 38756329
doi: 10.1177/2050313X241249628
pii: 10.1177_2050313X241249628
pmc: PMC11097719
doi:

Types de publication

Case Reports

Langues

eng

Pagination

2050313X241249628

Informations de copyright

© The Author(s) 2024.

Déclaration de conflit d'intérêts

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Auteurs

Georges Yared (G)

Assistant Professor Obstetrics and Gynecology Department, Lebanese American University, Beirut, Lebanon.

Jihad Al Hassan (J)

Obstetrics and Gynecology Department, Rafik Hariri Hospital University Medical Center, Beirut, Lebanon.
Associate Professor Obstetrics and Gynecology Department, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Obstetrics and Gynecology Department, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Head of Obstetrics and Gynecology Department, Al Zahraa Hospital University Medical Centre, Beirut, Lebanon.

Annie Tachdjian (A)

Obstetrics and Gynecology Department, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.

Charlotte El Hajjar (C)

Head of Obstetrics and Gynecology Department, Rafik Hariri Hospital University Medical Center, Beirut, Lebanon.

Kariman Ghazal (K)

Obstetrics and Gynecology Department, Rafik Hariri Hospital University Medical Center, Beirut, Lebanon.
Associate Professor Obstetrics and Gynecology Department, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.

Classifications MeSH