HYSTEROSCOPY AS GOLD STANDARD MANAGEMENT: A DETAILED STUDY OF FOETAL BONE REMOVAL THROUGH HYSTEROSCOPY AFTER UNSAFE ABORTIONS

An unsafe practice of abortion is the most neglected problems in the healthcare department in the underdeveloped countries of the world. Among multiple complications an unsafe abortion rare complication is retained foetal bone. The disease prevalence is about 0.15% in the patients experiencing hysteroscopy diagnostic. Patients presented the non-specific signs and symptoms. The research focuses on the abnormal uterine bleeding, subfertility, abnormal vaginal discharge, lower abdominal pain, dysmenorrhea, dyspareunia and bony fragments spontaneous passage. Fragments of retained foetal bone may also be a reason of a disease of acute pelvic inflammation in some of the patients without any due consideration of time interval after the act of an abortion. This persistent condition may also pose repeated occurrences of vaginitis or antimicrobial endometritis refractory management. Foreign body in the cavity of uterine is also to be considered. There is a need for the primary assessment of such patients through ultrasonography which is of very much clinical importance for various diagnostic assessments on case to case basis. In this research we have presented a case of missed retained foetal bone complication diagnosis having repeated acute disease of pelvic inflammation and vaginal discharge studied at Sir Ganga Ram Hospital from May to September 2017. Keywords: Retained Foetal Bone, pelvic inflammatory disease (PID), Pelvic Pain and Recurrent Vaginal Discharge.