[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-413598-105":59,"doc-detail-413598-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","fertility-after-hysteroscopic-management-of-retained-intrauterine-bones-a-case-report","Fertility after hysteroscopic management of retained intrauterine bones - a case report","","Retained intrauterine fetal bone is a rare complication often following induced pregnancy termination, especially in the second and third trimesters, due to incomplete evacuation of fetal tissues. It may lead to secondary infertility because bone fragments can act like an intrauterine contraceptive device by inducing localized inflammation and preventing implantation. This case report describes a 36-year-old woman with eight years of secondary infertility, confirmed by ultrasound and hysterosonography, treated via operative hysteroscopy, with pregnancy occurring six months later and a term live birth.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/fertility-after-hysteroscopic-management-of-retained-intrauterine-bones-a-case-report/413598/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/fertility-after-hysteroscopic-management-of-retained-intrauterine-bones-a-case-report/413598.png","ImageObject",300,407,{"name":92,"@type":93},"MrHarris58","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is retained intrauterine fetal bone, and why can it cause infertility?","Question",{"text":112,"@type":113},"Retained intrauterine fetal bones occur after incomplete evacuation of fetal tissues, often following induced pregnancy termination. Bone fragments can act as an intrauterine foreign body, inducing localized inflammation and preventing implantation, leading to secondary infertility.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the diagnosis established in this case?",{"text":117,"@type":113},"Diagnostic evaluation included ultrasound and hysterosonography. Hysteroscopy confirmed a fetal bone fragment in the uterine cavity.",{"name":119,"@type":110,"acceptedAnswer":120},"What treatment was used, and what was the outcome?",{"text":121,"@type":113},"Operative hysteroscopy was performed under loco-regional anesthesia to remove the bony sequestra. 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Pan African Medical Journal (ISSN: 1937-8688) . This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License ( [https://creativecommons.org/licenses/by/4.0/](https://creativecommons.org/licenses/by/4.0/)), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.  \nCite this article: Anny Ngassam et al. Fertility after hysteroscopic management of retained intrauterine bones: a case report. Pan African Medical Journal. 2025;52(73) . 10. 11604/pamj.2025.52.73.49424  \nAvailable online at: [https://www.panafrican-med-journal.com//content/article/52/73/full](https://www.panafrican-med-journal.com//content/article/52/73/full)  \nFertility after hysteroscopic management of retained intrauterine bones: a case report  \nAnny Ngassam1,2,&, Esther Juliette Ngo Um Meka2, Obase Musono Ralph2, Diane Estelle Modjo Kamdem3, Serge Robert Nyada1,2, Etienne Belinga1,2, Jean Dupont Ngowa Kemfang2  \n1Centre Hospitalier de Recherche et d´Application en Chirurgie Endoscopique et Reproduction Humaine, Yaoundé, Cameroun, 2Département de Gynécologie-Obstétrique, Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé I,  \nYaoundé, Cameroun, 3Département de Gynécologie-Obstétrique et Santé Maternelle, Faculté de Médecine et des Sciences Pharmaceutiques, Université de Dschang, Dschang, Cameroun  \n&Corresponding author  \nAnny Ngassam, Centre Hospitalier de Recherche etd´Application en Chirurgie Endoscopique et Reproduction Humaine, Yaoundé, Cameroun  \nAbstract  \nRetained intrauterine fetal bone is a rare event that happens after an induced pregnancy termination, usually illegal, especially during the second and third trimesters, due to the incomplete evacuation of fetal tissues. It can cause secondary infertility as bone fragments can work as an intrauterine contraceptive device. We present a case of compromised fertility due to the presence of fetal bony sequestra in the uterine cavity in a 36-year-old female who presented with secondary infertility of eight years duration, following a history of secondtrimester voluntary termination of pregnancy. Diagnostic evaluation included ultrasound and hysterosonography. Hysteroscopy confirmed the presence of a fetal bone fragment in the uterine cavity. The patient underwent operative hysteroscopy under loco-regional anesthesia for the removal of the bony sequestra. Pregnancy occurred six months following treatment, and she delivered a term live baby. Retained intrauterine fetal bones should be considered as a possible cause of infertility in women with a history of secondtrimester abortion.  \nIntroduction  \nRetained intrauterine","cbCaisQMwPyhhWf6","https://ap.wps.com/l/cbCaisQMwPyhhWf6","pdf",896478,"English","# Abstract\n# Introduction\n# Patient and observation","[{\"question\":\"What is retained intrauterine fetal bone, and why can it cause infertility?\",\"answer\":\"Retained intrauterine fetal bones occur after incomplete evacuation of fetal tissues, often following induced pregnancy termination. Bone fragments can act as an intrauterine foreign body, inducing localized inflammation and preventing implantation, leading to secondary infertility.\"},{\"question\":\"How was the diagnosis established in this case?\",\"answer\":\"Diagnostic evaluation included ultrasound and hysterosonography. Hysteroscopy confirmed a fetal bone fragment in the uterine cavity.\"},{\"question\":\"What treatment was used, and what was the outcome?\",\"answer\":\"Operative hysteroscopy was performed under loco-regional anesthesia to remove the bony sequestra. Pregnancy occurred six months after treatment, resulting in delivery of a term live baby.\"}]","Fertility after hysteroscopic management of retained intrauterine bones - a case report | PDF",1790595229]