Metaplasia óssea e esterilidade primária

Celeste P. Demeterco Reggiani, Marcelo K. Murata, Marcelo G. Cequinel, C Cornel, Jorjan Cruz, Jean Furtado Francisco, Augusto Fernando Beduschi
In: Revista Brasileira de Ginecologia e Obstetrícia · 2001 · vol. 23(2) · doi:10.1590/s0100-72032001000200010 · W1978928310
article OA: hybrid CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This paper reports a case of endometrial ossification in a 31-year-old woman with primary infertility and dysmenorrhea, confirmed histopathologically after hysteroscopic removal of suspected bone tissue.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This paper reports a rare case of endometrial osseous metaplasia/ossification in a 31-year-old nulligravid woman with primary infertility and dysmenorrhea, without any prior pregnancy or abortion history. Using pelvic ultrasonography to detect a hyperechoic uterine fundal area, the authors performed hysteroscopy, found tissue suggestive of bone, removed it hysteroscopically, and confirmed endometrial ossification by histopathology; they note that the common etiologic explanation in literature is post-abortion retention of ossicles, though their patient lacked such antecedents. The authors explicitly state the etiology of this condition remains controversial and that their evidence is limited to a single case. Relevance to endometriosis: the paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

A metaplasia óssea do endométrio é uma condição rara e pode ser explicada por uma neoformação no endométrio, com deposição de sais de cálcio. Entretanto, a situação mais comum é a história prévia de abortamento com permanência de ossículos na cavidade uterina. Foi relatado um caso de ossificação endometrial em uma mulher de 31 anos, sem gravidez prévia ou história de aborto, apresentando dismenorréia e infertilidade. A ultra-sonografia pélvica mostrou área hiperecóica no fundo da cavidade uterina. A histeroscopia foi realizada e uma imagem sugestiva de tecido ósseo foi encontrada. Este tecido foi retirado e a histopatologia confirmou a ossificação endometrial.

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