Hysteroscopic diagnosis and treatment of endocervical ossification: A case report

Cicinelli, Ettore; Stanziano, A.; Parisi, Carlo; Marinaccio, Marco; Causio, F.

doi:10.1016/j.jmig.2005.01.006

Cited by 17 publications

(12 citation statements)

References 8 publications

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“…The diagnosis is based on TVS and hysteroscopy, which is useful for confirming the diagnosis as well as for treating the pathology. During hysteroscopy, the presence of white-colored endocervical fragments with a sponge-like aspect and hard consistency at contact with the tip of the hysteroscope supports the diagnosis of endocervical ossification and chronic endocervicitis (46).…”

Section: Endocervical Ossificationmentioning

confidence: 80%

“…Moreover, office hysteroscopy may play a primary role in the resolution of many causes of CPP, such as M€ ullerian anomalies (28,62), intrauterine bone structures (34,35,40,(42)(43)(44)(45), endocervical ossification (46), and intrauterine abnormalities (51,52,62).…”

Section: Discussionmentioning

confidence: 99%

“…Endocervical ossification is an osseous metaplasia in the cervical canal, usually complicating chronic endocervicitis (46)(47)(48). The mechanism through which endocervicitis leads to endocervical ossification is still unclear; however, it has been hypothesized that the release of the increased amount of intracytoplasmic calcium after the death of the cervical cells may trigger further deposition of calcium and formation of macroscopic bone structures (46).…”

Section: Endocervical Ossificationmentioning

confidence: 99%

“…The mechanism through which endocervicitis leads to endocervical ossification is still unclear; however, it has been hypothesized that the release of the increased amount of intracytoplasmic calcium after the death of the cervical cells may trigger further deposition of calcium and formation of macroscopic bone structures (46). These patients may have CPP, infertility, hypermenorrhea, and dysmenorrhea.…”

Section: Endocervical Ossificationmentioning

confidence: 99%

See 3 more Smart Citations

Role of hysteroscopy in evaluating chronic pelvic pain

Sardo

Guida

Bettocchi

et al. 2008

Fertility and Sterility

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Section: Endocervical Ossificationmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Endocervical Ossificationmentioning

confidence: 99%

Section: Endocervical Ossificationmentioning

confidence: 99%

See 2 more Smart Citations

Role of hysteroscopy in evaluating chronic pelvic pain

Sardo

Guida

Bettocchi

et al. 2008

Fertility and Sterility

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“…4,5 The presence of endometrial ossification may cause infertility through different mechanisms; intrauterine bony fragments may impede implantation, completely obliterating the uterine cavity, or by acting like an intrauterine contraceptive device. 4 Direct embryo toxicity from osseous particles may also be a possibility. 5 Transvaginal ultrasound examination plays a primary role in the diagnostic process, 6 although confirmation by hysteroscopy is then essential.…”

Section: Introductionmentioning

confidence: 99%

Long and fluctuating bone fragments in uterine isthmus: A curious feature of true osseous metaplasia

Perino¹,

Calagna²,

Gargano³

et al. 2014

J of Obstet and Gynaecol

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Osseous metaplasia in the uterine cavity is a rare phenomenon arising from an unusual transformation of non-osseous connective tissue into mature bone. It is unclear how this alteration occurs and it has no single clinical manifestation. We report a case of asymptomatic endometrial osseous metaplasia of the isthmus with a singular picture: numerous long, floating bone-like structures in the cavity. The lesion was treated by operative hysteroscopy. Histological findings described a rare picture of true osseous metaplasia with the extraordinary presence of cells referable to areas of hematopoietic tissue in the cavities of trabecular bone. Physicians should be more informed and alert regarding this rare disorder in all its strange shapes and localizations, so as to be able to follow suitable therapy.

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