Endometrial osseous metaplasia: an unusual cause of infertility

Garg, Deepika; Bekker, G M; Akselrod, Faina; Narasimhulu, Deepa Maheswari

doi:10.1136/bcr-2015-209523

Cited by 14 publications

(27 citation statements)

References 7 publications

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“…Although its etiology still remains unclear, there are two theories regarding the pathophysiology of the disease including: fetal bone retention following an abortion later than three -month gestational weeks, and osseous metaplasia of endometrial stroma [1,2]. Inconsistent with the reported cases in the literature, our case had no abortus history.…”

Section: Discussionsupporting

confidence: 69%

See 1 more Smart Citation

Endometrial Osseous Metaplasia And Infertility: Case Report

Uyanık¹,

Erdemir²,

Uyanık³

et al. 2017

Ann Clin Anal Med

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ÖzetEndometriyal osseöz metaplazi infertiliteye sebep olabilen nadir bir durumdur.Sıklıkla geç abortuslardan sonra görülebilmektedir. Etyolojisi net olarak bilinmemekle birlikte teorilerle açıklanmaktadır. Bu olguda; 36 yaşında , nullipar hasta polikliğimize çocuk istemi ile başvurdu. Transvajinal ultrasonografi ile değerlen-dirmede endometrial alanda rahim içi araç (IUD) benzeri ekojen görünüm saptanması üzerine histeroskopi ile tanı ve tedavisi sağlanmış ,spontan olarak gebe kalmış bir hastayı sunmayı amaçladık. Histeroskopik inceleme ile nadir bir infertilite sebebi olan osseöz metaplazi tanısı konulabilmekte ve histeroskopik yöntem ile kemik parçalarının uzaklaştırılması sonucu fertilite geri dönebilmektedir. Anahtar KelimelerEndometriyal Osseöz Metaplazi; İnfertilite; Histeroskopi Abstract Endometrial osseous metaplasia is a rare condition which may cause infertility, and can be seen by following late abortions. Its etiology has not been clearly established, although there are several theories. Herein, we report a 36-year old nullipara patient who was admitted to our clinic with the desire to have a child. She was treated with hysteroscopy based on the presence of an echogenic appearance similar to an intrauterine device (IUD) on the endometrial area as assessed through transvaginal ultrasonography and she subsequently had a spontaneous pregnancy. Osseous metaplasia, which is a rare cause of infertility, can be diagnosed through hysteroscopic examination, and fertility can be restored by removing the bone fragments through hysteroscopy.

show abstract

Section: Discussionsupporting

confidence: 69%

“…It may be seen following late abortions. Its etiology is not clearly known; however, endometrial tissue osseous metaplasia or fetal bone retention are considered as the possible causes [1,2]. Herein, we report a case who was admitted to our clinic due to infertility and diagnosed and treated through hysteroscopy.…”

Section: Introductionmentioning

confidence: 96%

Endometrial Osseous Metaplasia And Infertility: Case Report

Uyanık¹,

Erdemir²,

Uyanık³

et al. 2017

Ann Clin Anal Med

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show abstract

“…Most patients with this condition presenting with infertility do so owing to the presence of a foreign body in the endometrium [12]. Spontaneous conception and birth are likely to occur when the osseous metaplasia of the endometrium is treated by the removal of bone fragments [13].…”

Section: Discussionmentioning

confidence: 99%

Osteoid Metaplasia of the Endometrium: A Case Report and Literature Review

Bouzid¹,

Ayachi²,

Mourali³

2016

Gynecol Obstet

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Endometrial ossification is a rare condition. Most cases reported had a history of abortion. Clinical presentation may include abnormal vaginal bleeding or discharge, dysmenorrhea, pelvic pain and secondary infertility. Hysteroscopy appears to be the gold standard method to both diagnosis and treatment. We report a case of endometrial ossification in a woman who presented with pelvic pain. The patient had a pregnancy voluntarily terminated at an unknown gestational age. The diagnosis was suspected at Sonography. We insist on the fact that diagnosis must be considerate in a symptomatic or infertile woman with a history of both early and late abortion and illustrate the feasibility and safety of a hysteroscopic treatment for this condition.

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“…Majority of the patients are in the reproductive age group with history of first or second trimester abortion, either therapeutic or spontaneous and have normal menstrual cycle in the postabortive period as noted in our case. [1][2][3]8,9 The time interval between the antecedent abortion and discovery of endometrial ossification varies from 8 weeks to 14 years. Osseous endometrium is an endogenous non-neoplastic pathological condition as no tissue reaction is found in the endometrial tissue studied and the endometrium showed normal regular cyclical changes in response to ovarian hormones.…”

Section: Discussionmentioning

confidence: 99%

Osseous endometrium presenting as menorrhagia, successful outcome by hysteroscopy: a case report and review

Anant

Singh

2017

Int Surg J

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Osseous endometrium is a rare clinical entity with the presence of bone in the endometrium. Almost all cases in literature have been reported as presenting with secondary infertility often having a prior history of a 1st or 2nd trimester abortion. This interesting case was 38 years age, presented with menorrhagia for few months only, had her last child birth 12 years ago by caeasarean delivery, her menstrual problem subsided with successful hysteroscopic removal of the bony chips. Although rare, the diagnosis is suspected on ultrasonography and can be managed easily with hysteroscopy which can visualize and simultaneously remove the bony spicules.

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Endometrial osseous metaplasia: an unusual cause of infertility

Cited by 14 publications

References 7 publications

Endometrial Osseous Metaplasia And Infertility: Case Report

Endometrial Osseous Metaplasia And Infertility: Case Report

Osteoid Metaplasia of the Endometrium: A Case Report and Literature Review

Osseous endometrium presenting as menorrhagia, successful outcome by hysteroscopy: a case report and review

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