Osseous metaplasia of the endometrium—pre‐ and post‐hysteroscopy imaging findings in a hemiuterus: A case report

Kakoly Borthakur
In: Journal of Clinical Ultrasound · 2024 · vol. 52(8) , pp. 1172–1175 · doi:10.1002/jcu.23738 · PMID:38830834 · W4399326589
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This case report details pre- and post-hysteroscopy imaging findings of rare endometrial osseous metaplasia, emphasizing the importance of 3D ultrasound for detecting reactive polyps that can impact fertility.

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Abstract

Endometrial osseous metaplasia (EOM) is a rare condition characterized by abnormal bone formation in the endometrium. This acts as a foreign body in the uterus. The commonest clinical presentation is secondary infertility. Transvaginal ultrasonography is the mainstay of first-line diagnosis. Hysteroscopy confirms the diagnosis and aids in complete removal. Diagnosis of this condition is crucial as post-treatment fertility outcomes are good. This case highlights the importance of three-dimensional ultrasonography before infertility treatment and after hysteroscopic removal of osseous metaplasia to look for reactive endometrial polyps which may interfere with the embryo implantation and spontaneous conception altering the post-surgical fertility outcome.
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Osseous metaplasia of the endometrium—pre- and post-hysteroscopy imaging findings in a hemiuterus: A case report Abstract Endometrial osseous metaplasia (EOM) is a rare condition characterized by abnormal bone formation in the endometrium. This acts as a foreign body in the uterus. The commonest clinical presentation is secondary infertility. Transvaginal ultrasonography is the mainstay of first-line diagnosis. Hysteroscopy confirms the diagnosis and aids in complete removal. Diagnosis of this condition is crucial as post-treatment fertility outcomes are good. This case highlights the importance of three-dimensional ultrasonography before infertility treatment and after hysteroscopic removal of osseous metaplasia to look for reactive endometrial polyps which may interfere with the embryo implantation and spontaneous conception altering the post-surgical fertility outcome. CONFLICT OF INTEREST STATEMENT The author declares no conflict of interest. DATA AVAILABILITY STATEMENT The data sets generated or analyzed during the study are available from the corresponding author upon reasonable request.

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last seen: 2026-06-04T00:00:01.174412+00:00
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