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Three‐dimensional ultrasound and hysteroscopy in the evaluation of intrauterine retained fetal bones

Three‐dimensional ultrasound and hysteroscopy in the evaluation of intrauterine retained fetal bones Meng-Hsing Wu, MD,* Chao-Chin Hsu, MD, PhD,* and Yue-Shan Lin, MD†An artificial or therapeutic abortion, especially in the second and third trimester, may be accidentally complicated with retained fetal bones. If ignored, persistent abnormal uterine bleeding and secondary infertility would result from the rare complication of this gynecological procedure. Various methods have been described which deal successfully with this occurrence, including blind dilatation and curettage, hysterectomy, and operative hysteroscopy.1,2 An ultrasound examination may help to establish easily an early and accurate diagnosis of the fetal bone retention in utero. Three-dimensional (3D) ultrasonography further enables the display of arbitrary planes of the uterus, which are sometimes not available by conventional two-dimensional ultrasound due to an unsuitable uterine position. The 3D images can detect optimal views of the uterine anatomy or intrauterine pathology. It can thus be used to locate the position of the foreign body and demonstrate its shape, especially after the reconstruction of 3D images. This can aid the preoperative judgment and assessment by hysteroscopy. We describe a woman presenting with persistent vaginal spotting for nearly 1 year. The application of 3D ultrasound and hysteroscopy helped to identify the cause and relieve the clinical symptoms caused by http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Three‐dimensional ultrasound and hysteroscopy in the evaluation of intrauterine retained fetal bones

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References (4)

Publisher
Wiley
Copyright
Copyright © 1997 John Wiley & Sons, Inc.
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/(SICI)1097-0096(199702)25:2<93::AID-JCU9>3.0.CO;2-E
Publisher site
See Article on Publisher Site

Abstract

Meng-Hsing Wu, MD,* Chao-Chin Hsu, MD, PhD,* and Yue-Shan Lin, MD†An artificial or therapeutic abortion, especially in the second and third trimester, may be accidentally complicated with retained fetal bones. If ignored, persistent abnormal uterine bleeding and secondary infertility would result from the rare complication of this gynecological procedure. Various methods have been described which deal successfully with this occurrence, including blind dilatation and curettage, hysterectomy, and operative hysteroscopy.1,2 An ultrasound examination may help to establish easily an early and accurate diagnosis of the fetal bone retention in utero. Three-dimensional (3D) ultrasonography further enables the display of arbitrary planes of the uterus, which are sometimes not available by conventional two-dimensional ultrasound due to an unsuitable uterine position. The 3D images can detect optimal views of the uterine anatomy or intrauterine pathology. It can thus be used to locate the position of the foreign body and demonstrate its shape, especially after the reconstruction of 3D images. This can aid the preoperative judgment and assessment by hysteroscopy. We describe a woman presenting with persistent vaginal spotting for nearly 1 year. The application of 3D ultrasound and hysteroscopy helped to identify the cause and relieve the clinical symptoms caused by

Journal

Journal of Clinical Ultrasound – Wiley

Published: Feb 1, 1997

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