Murat DEMİRİZ, Alper Nadir SELVİ, Sema MUTGAN, Uğur TOPRAK

Uterin kavitedeki fetal kemik kalıntılarına ikincil gelişen infertilite

Sekonder infertİl kadınlarda uterin kavitede kemik saptanması nadir olup etiyolojide genellikle sonlandırılmış gebelik öyküsü vardır. Etiyoloji tam olarak aydınlatılamasa da çeşitli teoriler öne sürülmüş olup bunlar fetal kemik kalıntıları ve endometrial dokunun osseöz metaplazisidir. Bu makalede küretaj ile sonlandırılmış gebelik öyküsü bulunan bir olguyu sunmaktayız. Kürete edilen materyalin histolojik incelemesinde kemik iliği saptanmış olup literatürde yalnızca iki kez bildirilmiştir.

Secondary infertility caused by retained fetal bone fragments

Bone within the uterine cavity is an unusual fi nding in women with secondary infertility, and is usually associated with a past history of termination of pregnancy.The etiology is unknown, but theories include retained fetal bone and osseous metaplasia of endometrial tissue. We describe a case of infertility patient, had history of surgical termination of pregnancies. Histological examination of the curettage material revealed bone marrow formation, a phenomenon that has been merely reported twice previously in the literature.

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1. Al-Shawaf T, Brown J, Keegan C. Retention of fetal bones 8 years following termination of pregnancy. Ultrasound Obstet Gynecol 1992; 2: 61–63.
2. Acharya U, Pinion SB, Parkin DE, et al. Osseous metaplasia of the endometrium treated by hysteroscopic resection. Br J Obstet Gynaecol 1993; 100: 391–392.
3. Radestad A, Flam F. Intrauterine retention of fetal bones after abortion. Acta Obstet Gynecol Scand 1995;74:662–4
4. Melius F, Julian T, Nagel T. Prolonged retention of intrauterine bones. Obstet Gynecol 1991;78:919–21.
5. Ganem KJ, Parsons L, Friedell GH. Endometrial ossification. Am J Obstet Gynecol 1962; 83: 1592–1594.
6 Basu M, Mammen C, Owen E. Bony fragments in the uterus: an association with secondary Subfertility Ultrasound Obstet Gynecol 2003; 22: 402–406.
7. Marcus SF, Bhattacharya J, Williams G, et al. Endometrial ossification: A cause of secondary infertility. Am J Obstet Gynecol 1994; 170: 1381–1383.
8 . Lewis V, Khan-Dawood F, King M, et al. Retention of fetal bone increases menstrual prostaglandins. Obstet Gynecol 1990;75:561–3
9. Chervenak F, Amin H, Neuwirth R. Symptomatic intrauterine retention of fetal bones. Obstet Gynecol 1982;59:58S–61S.