Metaplasia ósea del endometrio. Reporte de un caso y revisión de la bibliografía

Daniela Vela Merino, Hugo Marcelo Garzón Ávila, Pablo Andrés Santillán Roldán, José Fabricio Macías Zambrano
In: Metro Ciencia · 2020 · vol. 28(4) , pp. 29–35 · doi:10.47464/metrociencia/vol28/4/2020/29-35 · W3154325086
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This case report describes endometrial osseous metaplasia, a rare condition linked to infertility, found in a nulliparous patient and reviews the literature on its diagnosis and treatment.

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The paper describes endometrial osseous metaplasia as a rare condition associated with secondary infertility, presenting a clinical case and reviewing the literature. It reports that suspicion is based on an ultrasonographic finding of a hyperechogenic endometrium that can resemble an intrauterine device, and it states that hysteroscopy with histopathologic examination of obtained tissue is the gold standard for diagnosis and treatment. A key caveat highlighted by the authors is the unusual presentation in a nulligesta patient, which is emphasized as the main reason the case is described. Relevance to endometriosis: it does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match for gynecologic endometrial pathology.

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Abstract

La metaplasia ósea endometrial es una patología poco común que se asocia a infertilidad secundaria. La mayoría de casos se presenta en mujeres con antecedente de gestación no evolutiva. La sospecha se hace mediante el hallazgo de un endometrio hiperecogénico que se asemeja a la imagen de un dispositivo intrauterino. El gold standard para el diagnóstico y tratamiento es la histeroscopia con el estudio histopatológico del material obtenido en el precedimeinto. La importancia de su descripción es su presentación en una paciente nuligesta. Se describe el caso clínico y revisión de la literatura.
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Metaplasia ósea del endometrio. Reporte de un caso y revisión de la bibliografía DOI: https://doi.org/10.47464/MetroCiencia/vol28/4/2020/29-35Palabras clave: Metaplasia ósea endometrial, infertilidad secundaria, endometrio hiperecogénicoResumen La metaplasia ósea endometrial es una patología poco común que se asocia a infertilidad secundaria. La mayoría de casos se presenta en mujeres con antecedente de gestación no evolutiva. La sospecha se hace mediante el hallazgo de un endometrio hiperecogénico que se asemeja a la imagen de un dispositivo intrauterino. El gold standard para el diagnóstico y tratamiento es la histeroscopia con el estudio histopatológico del material obtenido en el precedimeinto. La importancia de su descripción es su presentación en una paciente nuligesta. Se describe el caso clínico y revisión de la literatura. Descargas Citas T Umashankar, Shobhana Patted RH. Endometrial osseous metaplasia: Clinicopathological study of a case and literature review. J Hum Reprod Sci. 2010;3(2):102–5. Patil SB, Narchal S, Paricharak DG MS. Endometrial Osseous Metaplasia : Case Report with Literature Review. Ann Med Health Sci Res. 2013;3(November):10–2. Miriam S. Krause, Henry Bohler STN. Saline Infusion Sonogram is Superior to CT Scan for Diagnosis of Osseous Metaplasia. Fertil Steril [Internet]. 2012;97(3):S21. Available from: http://dx.doi.org/10.1016/j.fertnstert.2012.01.051 Onderoglu LS, Yarali H, Gultekin M, Katlan D, D M. Endometrial osseous metaplasia : an evolving cause of secondary infertility. Fertil Steril [Internet]. 2008;90(5):2013–5. Available from: http://dx.doi.org/10.1016/j.fertnstert.2008.01.001 Lainas T, Ph D, Zorzovilis I, Petsas G, Ph D. Osseous metaplasia : case report and review. Fertil Steril. 2004;82(5):1433–5. J C Rosa e Silva JC, Barcelos ID, Navarro PA, Ferriani RA. Osseous metaplasia of the endometrium associated with infertility: A case report and review of the literature. J Med Case Rep. 2009;3(September):3–7. Alba Lucía Mondragón-Cedeño, Ángel David Miranda-Cruz, Sergio Augusto Parra-Duarte, Eliana Paredes-Becerra AMZ-C. Metaplasia ósea endometrial: reporte de casos y revisión de la literatura. Rev Colomb Obstet Ginecol. 2011;62(3):255–60. Garima Gupta, Divya Mahindru, Aparajita D’Souza SG. Osseous Metaplasia of Endometrium : A Very Rare Entity. World J Laparosc Surg. 2017;10(August):69–72. Valter Feyles, Terence Moyana RP. Recurrent pregnancy loss associated with endometrial hyperechoic areas (endometrial calcifications ): A case report and review of the literature. Clin Exp Obstet Gynecol. 2000. Tonin PN, Ph D, Arcand SL, Sc M. Calcified tissue of fetal origin in utero. Fertil Steril. 2008;89(1):217–8. Akanksha Sood, Emilie Lewis, Ben Grey LM. Novel Management of Endometrial Osseous Metaplasia. World J Surg Surg Res. 2019;2:1–2. Madhu Chaturvdi AS. Intrauterine bony fragments - An unexpected finding in the hysterectomy specimen. Autops Case Reports. 2020;(Figure 3):3–6. Bosch T Van den. Favorable pregnancy outcome in a woman with osseous metaplasia of the uterus. Ultrasound Obstet Gynecol. 2000;15:445–6. Marcus SF, Bhattacharya J, Rdms GW, Brinsden P, Hamou J. Endometrial ossification : A cause of secondary infertility Report of two cases. Am J Obstet Gynecol [Internet]. 1994;170(5):1381–3. Available from: http://dx.doi.org/10.1016/S0002-9378(13)90472-5 Luiz Felipe Alves Guerra, Laís Bastos Pessanha, Gabriel Antonio de Oliveira, Adriana Maria Fonseca de Melo, Flavia Silva Braga RSM de S. Endometrial osseous metaplasia: sonographic, radiological and histopathological findings. Radiol Bras. 2016;49(8):62–3. Killick SR. Ultrasound assessment of fertility. In: Clinical Ultrasound [Internet]. Thrid Edit. Elsevier Ltd; 2011. p. 730–9. Available from: http://dx.doi.org/10.1016/B978-0-7020-3131-1.00038-9 Roach MK, Thomassee MS. An incidental finding of endometrial osseous metaplasia during office hysteroscopy. Am J Obstet Gynecol [Internet]. 2015;212(3):402.e1-402.e2. Available from: http://dx.doi.org/10.1016/j.ajog.2014.11.015 Giannella L, Gelli MC, Ippolito GD, Ciavattini A. Ultrasound appearance of endometrial bone metaplasia mimics an intrauterine device. Am J Obstet Gynecol [Internet]. 2020;223(4):580–1. Available from: https://doi.org/10.1016/j.ajog.2020.01.023 Togas Tulandi, Mohammed Al-Sunaidi, Jocelyne Arseneau, Patricia Tonin SA. Calcified tissue of fetal origin in utero. Fertil Steril. 2008;89(1):2007–8. Alejandro Manzur SV. Extensa metaplasia ósea endometrial y exitoso embarazo espontáneo post tratamiento. Casos clínicos. Rev Med Chile. 2010;138:1004–7. Deffieux X, Lousquy R, Faivre E FH. Fertility after Hysteroscopic Management of Endometrial Osseous Metaplasia. J Minim Invasive Gynecol. 2009;16:60. Descargas Publicado Cómo citar Número Sección Licencia Derechos de autor 2020 Fedra Daniela Vela Merino, Hugo Marcelo Garzón Ávila, Pablo Andrés Santillán Roldán, José Fabricio Macías Zambrano Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.

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