Osteoid Endometrial Metaplasia in Postabortion: About Three Cases at the National Hospital Center of Pikine; Dakar, Senegal

Moussa Diallo

doi:10.19080/jgwh.2019.15.555917

Abstract

Osteoid Endometrial Metaplasia in Postabortion: About Three Cases at the National Hospital Center of Pikine; Dakar, Senegal

Highlights

Endometrial osteoid metaplasia refers to the presence in the endometrium of ectopic bone tissue of mainly fetal origin [1,2]
Secondary infertility and chronic pelvic algae in relation to chronic aseptic endometritis remain the main circumstances of discovery, the literature has reported other possible clinical manifestations such as leucorrhoea, dyspareunia and algomenorrhoea [4,5]
The notion of termination of pregnancy several years before the appearance of clinical manifestations leads us to believe that the fetus origin is due to incomplete uterine evacuation, but the pathophysiology remains that of the hypotheses

Summary

Introduction

Endometrial osteoid metaplasia refers to the presence in the endometrium of ectopic bone tissue of mainly fetal origin [1,2]. An operative hysteroscopy with general anaesthesia has been proposed The latter, carried out, had revealed a friable, whitish tissue fragment reminiscent of bone tissue (Figure 2). No control ultrasound had been performed, as the bleeding had spontaneously faded and uterine evacuation was considered complete Five months after this episode, she presents metrorrhagia that rebelled against medical treatment. Diagnostic hysteroscopy is probably the key examination to evoke the diagnosis with the identification of whitish, friable and detachable bone tissue from the endometrium. Hysteroscopy allows, in addition to diagnosis, the removal of bone fragments, which must be carried out with caution in order not to perforate the uterus This risk should be assessed on ultrasound by measuring the myometrial thickness separating bone tissue from the uterine serosa. Some authors even recommend performing surgical hysteroscopy under ultrasound control in order to simultaneously visualize the uterine and pelvic cavities, ensuring a controlled intervention [8]

Discussion

Conclusion