Uterine lithiasis

Alpert LC, L C Alpert, E J Haufrect, Haufrect EJ, M R Schwartz, Schwartz MR
The American journal of surgical pathology · 1990 · vol. 14(11) , pp. 1071–5 · doi:10.1097/00000478-199011000-00008 · PMID:2240356
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This report describes the first documented case of human uterine lithiasis in a 73-year-old woman, identifying calcite structures within the endometrial cavity during hysterectomy for secondary prolapse.

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This case report describes a 73-year-old woman who presented with secondary uterine prolapse and cystocele, leading to a vaginal hysterectomy. Pathological examination of the removed uterus revealed ten calcified, starlike structures within the endometrial cavity that were identified as calcite via x-ray diffraction. The authors note this is the first documented instance of human uterine lithiasis in medical literature, highlighting the rarity of calcium carbonate deposition in the uterine lining. 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

We report a case of uterine lithiasis in a 73-year-old Latin American woman. The patient underwent vaginal hysterectomy and colporrhaphy for complaints related to secondary uterine prolapse and cystocele. The 70-g, 8 x 5 x 3.5 cm uterus had a normal shape. Ten white, starlike, 0.5 x 0.5 x 0.2 cm, calcified structures were found within the endometrial cavity. Chemical analysis of one of these by x-ray diffraction showed it to be composed of calcite, one of the crystalline forms of calcium carbonate. To our knowledge, this is the first report of human uterine lithiasis in the literature.
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Case Reports: PDF Only Uterine Lithiasis - Lesley C. Alpert - Eric J. Haufrect - Mary R. Schwartz American Journal of Surgical Pathology 14(11):p 1071-1075, November 1990. We report a case of uterine lithiasis in a 73-year-old Latin American woman. The patient underwent vaginal hysterectomy and colporrhaphy for complaints related to secondary uterine prolapse and cystocele. The 70-g, 8 x 5 x 3.5 cm uterus had a normal shape. Ten white, starlike, 0.5 x 0.5 x 0.2 cm, calcified structures were found within the endometrial cavity. Chemical analysis of one of these by x-ray diffraction showed it to be composed of calcite, one of the crystalline forms of calcium carbonate. To our knowledge, this is the first report of human uterine lithiasis in the literature. Copyright © Lippincott-Raven Publishers.

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MeSH descriptors

Calculi Uterine Diseases Aged Calculi Female Humans Uterine Diseases

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