Document Detail


Endometrial osseous metaplasia: an evolving cause of secondary infertility.
MedLine Citation:
PMID:  18325514     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To present an endometrial osseous metaplasia case and reemphasize that the condition is a cause of secondary infertility. DESIGN: Case report. SETTING: Department of Obstetrics and Gynecology in a university hospital in Turkey. PATIENT(S): A 33-year-old multiparous woman was admitted to our institution with secondary infertility that had lasted for 2 years. She had experienced one first-trimester and one second-trimester abortion, 3 years and 2 years ago, respectively. On transvaginal sonography, a linear curvy echogenity was observed. INTERVENTION(S): Hysteroscopic examination revealed multiple bony spicules, extending perpendicularly from the posterior uterine wall in to the uterine cavity and occupying almost two thirds of the cavity. Thereafter, a resectoscopic excision of the bony spicules was performed. MAIN OUTCOME MEASURE(S): A normal endometrium and uterine cavity. RESULT(S): Two weeks after the operation, ultrasonographic evaluation was in the normal range, and the patient currently is trying to conceive spontaneously. CONCLUSION(S): Although the role of office hysteroscopy in the evaluation of infertile couple is still under debate, clinicians should keep this rare disorder in mind, especially in patients with a history of late abortion, and should evaluate such cases by hysteroscopy when sonographic features are encountered.
Authors:
Lutfu Sabri Onderoglu; Hakan Yarali; Murat Gultekin; Doruk Katlan
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-05
Journal Detail:
Title:  Fertility and sterility     Volume:  90     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-10     Completed Date:  2008-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2013.e9-11     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Faculty of Medicine, Hacettepe University, Sihhiye, Ankara, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Spontaneous / etiology,  pathology
Adult
Endometrium / pathology*,  surgery,  ultrasonography
Female
Humans
Hysteroscopy
Infertility, Female / etiology*,  pathology,  surgery
Metaplasia
Ossification, Heterotopic / complications*,  pathology,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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