Case Report of a Patient Presenting With Metrorrhagia Due to Retained Pieces of Fetal Bone.

Abstract

A patient named Saira Bano age-45 years Wife of-Muhammad Abdullah of Jagdishpur, Champaran, Hazaribagh presented in OPD of RAJENDRA INSTITUTE OF MEDICAL SCIENCES, Ranchi on 07.05.2012 with complain of heavy & irregular bleeding per vaginum for 6 months. Her Last menstrual period was on 27 th April. Her cycles were 7-8 days / 10 ± 5-7 days. Bleeding is heavy with passage of clots. Her Obstetrical history-Para-6+2, All full term normal delivery at home. Last one was Medical termination of pregnancy of 4 months-6 yrs back by untrained person. General Examination-Patient was moderately pale. Her pulse was 100/min & Blood pressure-124/70 mm of Hg. Chest-Bilateral vesicular breath sound heard & C.V.S.-Tachycardia was present. Per Abdominal Examination-Abdomen soft. No tenderness. Per speculum examination-Cervix unhealthy congested infected discharge present. Per vaginal Examination-Uterus was retroverted. Slightly bulky Mobility restricted. Fornices free. Patient was admitted for further investigation. Her Haemoglobin was 8 gm% Total count & Differential count of W.B.C, Routine examination of urine, bleeding time & Clotting time, Blood glucose F & P/P Blood urea & Serum Creatinine all were within normal limits. She was HIV and Hepatitis B surface antigen-Negative, Her Chest X ray & E.C.G. was normal. Patient's Hb was built up by I.V. Iron sucrose + protein diet & vitamin + micronutrients. U.S.G.-Report showed Endometrium is thick & echogenic-looks like old organized missed products.