Monckeberg's arteriosclerosis: a case report of chronic endometritis presenting as postmenopausal bleeding

In: Menopause · 2021 · vol. 29(2) , pp. 247–249 · doi:10.1097/gme.0000000000001902 · W4205645796
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Abstract

Abstract Objective: Chronic endometritis is rarely reported in the postmenopausal population. Here, we describe a case of chronic endometritis in a patient who had undergone premature menopause that was later found to have Monckeberg arteriosclerosis (MocA) of the uterine vessels. Methods: A review of the literature revealed a single report of MocA affecting the uterine vessels and no reports in a patient who had undergone premature menopause. A case of a 69-year-old presenting with postmenopausal bleeding and having the diagnosis of chronic endometritis is described. Results: Following definitive management with hysterectomy, final histopathology showed MocA of the uterine vessels. Conclusions: The lack of reviews of chronic endometritis in postmenopausal women reveals a gap in the literature. Further studies are necessary to review MocA and decreased uterine perfusion in the context of a possible predisposition to chronic endometrial infection and/or inflammation.

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