Vaginal osseous metaplasia

Landim, Fábio Machado; Tavares, José Marconi; Braga, Deborah Nunes de Melo; Silva, Jose Erialdo da; Filho, João Bosco Breckenfeld Bastos; Feitosa, Roney Gonçalves Fechine

doi:10.1007/s00404-008-0706-4

Cited by 15 publications

(13 citation statements)

References 27 publications

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“…9 It is an endogenous non neoplastic pathological disorder which may also involve the cervix, ovary and the vagina. 4,[10][11][12] Majority of the affected patients are in the reproductive age group, though a rare case of post-menopausal osseous metaplasia of endometrium has been reported by Shimizu et al 13 Almost all the patients have a history of previous first trimester abortions, spontaneous or induced. [2][3][4][5] The time interval between previous abortion and diagnosis of osseous metaplasia may vary from 8 weeks to 14 years, however, cases up to 37 years after abortion have been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Osseous metaplasia of endometrium: a rare cause of secondary infertility

Shah¹,

Kale²,

Shah³

2016

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionmentioning

confidence: 99%

Osseous metaplasia of endometrium: a rare cause of secondary infertility

Shah¹,

Kale²,

Shah³

2016

Int J Reprod Contracept Obstet Gynecol

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“…Ossification has also been reported in the cervix, the ovary, and the vagina [2,10-12]. To the best of our knowledge, this is the first reported case of osseous metaplasia nodules of both the submucosa and mesosalpinx.…”

Section: Discussionmentioning

confidence: 76%

Simultaneous osseous metaplasia nodules of the submucosa and mesosalpinx after first trimester abortion: a case report

et al. 2013

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ObjectivesHere, we report a case of simultaneous osseous metaplasia nodules of the submucosa and mesosalpinx after a first trimester abortion.Case presentationA 36-year-old woman presented to the Women’s Hospital, School of Medicine, Zhejiang University with vaginal bleeding and infertility resulting from osseous metaplasia nodules of the submucosa and mesosalpinx after a first trimester abortion. Diagnostic and operative hysteroscopy and laparoscope procedures were performed. The osseous metaplasia nodules disappeared after hysteroscopy and laparoscope interventions; 2 weeks postoperatively, the patient underwent a transvaginal ultrasound examination and the abnormal ultrasound appearance had resolved.ConclusionsOsseous metaplasia nodules in the submucosa and mesosalpinx can be a rare cause of vaginal bleeding and infertility. Autologous tissue, not persistent heterologous tissue, may be the true reason for metaplasia. Treatment is by ultrasound-guided curettage or by hysteroscopic and laparoscope removal.

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“…Three cases reported with menstrual irregularities alone [5,6]. Other sites of ossification are vagina [7], cervix [8] and ovary [9]. Previous case reports [1,10,11] have shown that antecedent abortion were present in most patients (76.5%).…”

Section: Discussionmentioning

confidence: 99%

Endometrial Osseous Metaplasia—A Rare Presentation of Polymenorrhagia: A Case Report

Nigar¹

2015

JCDR

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A 41-year-old female presented to the gynecology outpatient department with a history of continuous, excessive bleeding, lower abdominal pain and vaginal discharge for the past two years. She was multiparous and had delivered two children, both vaginally. The last delivery was 14 years back. The patient gave history of dilatation and curettage at 6 weeks of gestation for incomplete abortion, approximately three and a half years back. Despite conventional hormone therapy, the patient was not relieved. She had no other relevant history suggestive of any systemic disorder. On general examination, she appeared normal except mild pallor was observed. Bimanual examination revealed bulky uterus with mild bilateral tenderness. Ultrasound of pelvis revealed presence of hyper echoic foci measuring 9mm and 15×10mm in the uterine cavity [Table/ Fig-1]. So, dilatation and curettage was done. During curettage gritty sensation was felt and only scanty tissue was removed and it was subjected to histopathological examination. The report revealed chronic endometritis. The decision for hysterectomy was taken since there was no response to the previous treatment and she had no desire of having more children. Obstetrics and Gynaecology SectionEndometrial Osseous Metaplasia-A Rare Presentation of Polymenorrhagia:A Case Report ABSTRACTEndometrial ossification is a rare entity in which bones are found in the uterus. Exact aetiopathogenesis is not known but the most accepted theory is metaplasia of stromal cells into osteoblast cells result in the formation of bones. The possibility of malignant mixed mullerian tumour should be in the mind of clinician and pathologist while making diagnosis. We hereby report an extremely rare case, which is among very few reported cases in the world, in which endometrial ossification presented in a perimenopausal female with polymenorrhagia.A 41-year-old multiparous patient presented with irregular bleeding per vaginum for the past two years. She was found to be a case of endometrial calcification with osseous metaplasia with presence of bones varying from 7mm -1.5 cms size in the uterine cavity. She was successfully managed by total abdominal hysterectomy.On cut section, uterus showed 3 bony fragments of approx.

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Vaginal osseous metaplasia

Abstract: To our knowledge, this finding has not been reported yet in the English medical literature.

Cited by 15 publications

References 27 publications

Osseous metaplasia of endometrium: a rare cause of secondary infertility

Osseous metaplasia of endometrium: a rare cause of secondary infertility

Simultaneous osseous metaplasia nodules of the submucosa and mesosalpinx after first trimester abortion: a case report

Endometrial Osseous Metaplasia—A Rare Presentation of Polymenorrhagia: A Case Report

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