Endometrial osseous metaplasia: Presentation of two rare cases related with infertility, and their hysteroscopic approaching

  • Jos´é Martínez-Más Obstetrics and Gynecology Department. Santa Lucía University Hospital, Cartagena, Murcia, Spain.
  • Paloma Gómez-Leal Obstetrics and Gynecology Department, Santa Lucía University Hospital, Cartagena.
  • Juan Pedro Martínez-Cendán Assistant Professor at Obstetrics and Gynecology Department, Catholic University of Murcia (UCAM), Murcia
  • Andrés Bueno-Crespo Assistant Professor at Computer Science Department, Catholic University of Murcia (UCAM), Murcia
  • Sebastián Ortiz-Reina Pathology Department, Cartagena Hospital Complex, Cartagena
  • Carmen López-Peña Pathology Department, Cartagena Hospital Complex, Cartagena.
  • María Isabel Sánchez-Zapata Obstetrics and Gynecology Department, Santa Lucía University Hospital, Cartagena.
  • Manuel Remezal-Solano Assistant Professor at Obstetrics and Gynecology , Catholic University of Murcia (UCAM), Murcia

Abstract

Objective: To present two cases of patients diagnosed of endometrial osseous metaplasia related with infertility and their hysteroscopic approaching.


Design: Case report.


Setting: Two clinical cases diagnosed and treated at Institutional University Hospital. Patients: Two premenopasual women diagnosed and treated in our Center.


Interventions: Transvaginal ultrasound scan, diagnostic hysteroscopy and hysteroscopic removal of bone fragments. Main Outcome Measures: Ultrasound scan during further clinical follow up.


Results: Both patients underwent a diagnostic hysteroscopy, and removal of all the bone fragments with total resolution of their pathology.


Conclusions: Endometrial osseous metaplasia is a rare pathology that should be suspected in patients with a history of secondary infertility, several miscarriages and curettages, that present with an ultrasound image compatible with an intrauterine device. Hysteroscopic approach is the best diagnostic and therapeutic option.


 


Key words: Endometrial osseous metaplasia, bony intrauterine tissue, miscarriage, infertility, hysteroscopy, unadverted intrauterine device.

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Published
2017-08-13
How to Cite
MARTÍNEZ-MÁS, Jos´é et al. Endometrial osseous metaplasia: Presentation of two rare cases related with infertility, and their hysteroscopic approaching. International Archives of Medicine, [S.l.], v. 10, aug. 2017. ISSN 1755-7682. Available at: <http://imedicalsociety.org/ojs/index.php/iam/article/view/2726>. Date accessed: 16 aug. 2017. doi: https://doi.org/10.3823/2505.
Section
Obstetrics & Gynecology