First Trimester Abortion: A Rare Cause of Intrauterine Bony Spicules

Copyright © 2012 Anshuja Singla et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Bony fragments in the uterus occur after second trimester termination of pregnancy following retained fetal bones. Very rarely, they can form following first trimester loss. Clinical symptoms range from pain, menstrual symptoms, and infertility. Ultrasound shows a hyperechoic shadow, and treatment is by curettage or hysteroscopic removal. 1. Case Report A 23-year-old woman presented with complaints of sec-ondary infertility and postmenstrual spotting for one year. She gave a history of missed abortion of ten-week period of gestation for which she underwent dilatation and curettage for retained products after two months of abortion. Her menstrual cycles were regular with normal flow. General physical and pelvic examination was normal. Transvaginal ultrasonography revealed a linear hyper-echogenic endometrial shadow, suggestive of calcified