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Osseous metaplasia of the uterus: an interesting presenting complaint and case of secondary infertility: case report

Little is known about the rare condition, osseous metaplasia of the uterus, with few cases described worldwide. It is a non-neoplastic transformation in which endometrial stroma is replaced with a mix of bone and cartilage. Occurring commonly after pregnancy, it is thought that the persistence of fo...

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Autores principales: Rudd, Ignatius, Pujari, Reshma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10205252/
https://www.ncbi.nlm.nih.gov/pubmed/37229080
http://dx.doi.org/10.1097/MS9.0000000000000583
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author Rudd, Ignatius
Pujari, Reshma
author_facet Rudd, Ignatius
Pujari, Reshma
author_sort Rudd, Ignatius
collection PubMed
description Little is known about the rare condition, osseous metaplasia of the uterus, with few cases described worldwide. It is a non-neoplastic transformation in which endometrial stroma is replaced with a mix of bone and cartilage. Occurring commonly after pregnancy, it is thought that the persistence of foetal embryonic remnants contributes to this change. If untreated, osseous metaplasia of the uterus can have a major impact on a woman’s fertility. CASE PRESENTATION: The authors present a case of a woman with the feeling of a foreign body in the vagina and a long-standing history of secondary infertility of unknown cause. She was found to have osseous metaplasia of the uterus with spontaneous expulsion of the bony fragments from the uterus into the cervical canal, creating the sensation of foreign body in the vagina. She was treated with hysteroscopic resection. Fertility returned 3 months post procedure. CLINICAL DISCUSSION: This case provides a valuable reminder that osseous metaplasia can have a varied clinical presentation and requires a careful history and examination. CONCLUSION: This case reinforces the importance of a thorough diagnostic assessment in the woman presenting with foreign body in the vagina/cervix and /orsecondary infertility. This rare but important diagnosis can have a lasting impact on a woman’s reproductive health if left untreated.
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spelling pubmed-102052522023-05-24 Osseous metaplasia of the uterus: an interesting presenting complaint and case of secondary infertility: case report Rudd, Ignatius Pujari, Reshma Ann Med Surg (Lond) Case Reports Little is known about the rare condition, osseous metaplasia of the uterus, with few cases described worldwide. It is a non-neoplastic transformation in which endometrial stroma is replaced with a mix of bone and cartilage. Occurring commonly after pregnancy, it is thought that the persistence of foetal embryonic remnants contributes to this change. If untreated, osseous metaplasia of the uterus can have a major impact on a woman’s fertility. CASE PRESENTATION: The authors present a case of a woman with the feeling of a foreign body in the vagina and a long-standing history of secondary infertility of unknown cause. She was found to have osseous metaplasia of the uterus with spontaneous expulsion of the bony fragments from the uterus into the cervical canal, creating the sensation of foreign body in the vagina. She was treated with hysteroscopic resection. Fertility returned 3 months post procedure. CLINICAL DISCUSSION: This case provides a valuable reminder that osseous metaplasia can have a varied clinical presentation and requires a careful history and examination. CONCLUSION: This case reinforces the importance of a thorough diagnostic assessment in the woman presenting with foreign body in the vagina/cervix and /orsecondary infertility. This rare but important diagnosis can have a lasting impact on a woman’s reproductive health if left untreated. Lippincott Williams & Wilkins 2023-04-11 /pmc/articles/PMC10205252/ /pubmed/37229080 http://dx.doi.org/10.1097/MS9.0000000000000583 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nd/4.0/This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0 (https://creativecommons.org/licenses/by-nd/4.0/) , which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0/ (https://creativecommons.org/licenses/by-nd/4.0/)
spellingShingle Case Reports
Rudd, Ignatius
Pujari, Reshma
Osseous metaplasia of the uterus: an interesting presenting complaint and case of secondary infertility: case report
title Osseous metaplasia of the uterus: an interesting presenting complaint and case of secondary infertility: case report
title_full Osseous metaplasia of the uterus: an interesting presenting complaint and case of secondary infertility: case report
title_fullStr Osseous metaplasia of the uterus: an interesting presenting complaint and case of secondary infertility: case report
title_full_unstemmed Osseous metaplasia of the uterus: an interesting presenting complaint and case of secondary infertility: case report
title_short Osseous metaplasia of the uterus: an interesting presenting complaint and case of secondary infertility: case report
title_sort osseous metaplasia of the uterus: an interesting presenting complaint and case of secondary infertility: case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10205252/
https://www.ncbi.nlm.nih.gov/pubmed/37229080
http://dx.doi.org/10.1097/MS9.0000000000000583
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