Retained fetal bones causing recurrent per vaginal discharge and secondary infertility: A case report

Abstract

Background: Retained fetal bones as a cause of infertility is uncommon. Treatment involves removal of the fetal bones, with resolution of symptoms and resumption to fertility reported.
Case presentation: A 31-year-old para 0+1 presented to the gynecological outpatient clinic with a two-year history of secondary infertility and recurrent vaginal discharge that begun following a pregnancy loss at 22 weeks gestation. She had undergone labor induction, after which she was scheduled twice for evacuation of retained products of conception. She was managed for vaginal discharge until a repeat scan revealed retained fetal parts and uterine fibroids a year later. Myomectomy was done, and fetal bones embedded in the myometrium and within the uterine cavity were removed.
Conclusion: Retained fetal bones diagnosis should be entertained in patients presenting with a history of per vaginal discharge or secondary infertility following a miscarriage. The role of pelvic scan and hysteroscopy in evaluating these patients cannot be over-emphasized.