Osseous endometrium presenting as menorrhagia, successful outcome by hysteroscopy: a case report and review

Abstract

Osseous endometrium is a rare clinical entity with the presence of bone in the endometrium. Almost all cases in literature have been reported as presenting with secondary infertility often having a prior history of a 1st or 2nd trimester abortion. This interesting case was 38 years age, presented with menorrhagia for few months only, had her last child birth 12 years ago by caeasarean delivery, her menstrual problem subsided with successful hysteroscopic removal of the bony chips. Although rare, the diagnosis is suspected on ultrasonography and can be managed easily with hysteroscopy which can visualize and simultaneously remove the bony spicules.