Osseous metaplasia of the endometrium-pre- and post-hysteroscopy imaging findings in a hemiuterus: A case report.

Publisher: Wiley Subscription Services, Inc Country of Publication: United States NLM ID: 0401663 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0096 (Electronic) Linking ISSN: 00912751 NLM ISO Abbreviation: J Clin Ultrasound Subsets: MEDLINE

Publication: <2005-> : Hoboken, N.J. : Wiley Subscription Services, Inc.
Original Publication: Denver, Colo. : Norman House, c1973-

Hysteroscopy*/methods ; Metaplasia*/diagnostic imaging ; Endometrium*/diagnostic imaging ; Endometrium*/pathology ; Ossification, Heterotopic*/diagnostic imaging ; Ossification, Heterotopic*/surgery; Humans ; Female ; Adult ; Imaging, Three-Dimensional/methods ; Ultrasonography/methods ; Uterine Diseases/diagnostic imaging ; Uterine Diseases/surgery

Endometrial osseous metaplasia (EOM) is a rare condition characterized by abnormal bone formation in the endometrium. This acts as a foreign body in the uterus. The commonest clinical presentation is secondary infertility. Transvaginal ultrasonography is the mainstay of first-line diagnosis. Hysteroscopy confirms the diagnosis and aids in complete removal. Diagnosis of this condition is crucial as post-treatment fertility outcomes are good. This case highlights the importance of three-dimensional ultrasonography before infertility treatment and after hysteroscopic removal of osseous metaplasia to look for reactive endometrial polyps which may interfere with the embryo implantation and spontaneous conception altering the post-surgical fertility outcome.
(© 2024 Wiley Periodicals LLC.)

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Keywords: endometrial calcification; endometrial polyp; osseous metaplasia; secondary infertility

Date Created: 20240603 Date Completed: 20241005 Latest Revision: 20241005

20241005

10.1002/jcu.23738

38830834