When Hysteroscopy is the only way out; a case series of endometrial osseous metaplasia
Background: Endometrial osseous metaplasia (EOM) poses diagnostic and treatment dilemmas. Hysteroscopy is the gold standard in the diagnosis of endometrial pathologies and offers optimal treatment for osseous metaplasia. Case presentation: Five new cases of EOM were diagnosed within four years, g...
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| Language: | English |
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Babcock Medical Society
2024-12-01
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| Series: | Babcock University Medical Journal |
| Online Access: | http://bumj.babcock.edu.ng/index.php/bumj/article/view/367 |
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| author | John Imaralu Taiwo Solaja Oluwole Ayegbusi Olukemi Grillo Remilekun Atunrase-Sotola Theophilus Elejere |
| author_facet | John Imaralu Taiwo Solaja Oluwole Ayegbusi Olukemi Grillo Remilekun Atunrase-Sotola Theophilus Elejere |
| author_sort | John Imaralu |
| collection | DOAJ |
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Background: Endometrial osseous metaplasia (EOM) poses diagnostic and treatment dilemmas. Hysteroscopy is the gold standard in the diagnosis of endometrial pathologies and offers optimal treatment for osseous metaplasia.
Case presentation: Five new cases of EOM were diagnosed within four years, giving an annual incidence of 5/101 (1.24%) of hysteroscopies and 5/583 (0.21%) of gynaecological surgeries.
The patients’ mean age was 35.2 ± 10.0 years The diagnosis was made in all cases during evaluation for infertility with the duration of infertility ranging from 1-14 years. They all had a preceding pregnancy termination.
All of the five patients had recurrent vaginal discharge, with durations ranging from 1-23 years. Bone tissue was retrieved from the endometrium in all cases, a long bone was impacted in a cephalo-caudal direction in one of the patients, requiring initial cephalad dislodgement before retrieval. After resection, the vaginal discharge stopped immediately and one of the patients conceived spontaneously and had a term delivery.
Conclusion: EOM can best be diagnosed and treated by hysteroscopy. It is mostly preceded by pregnancy termination; with a mid-trimester dilatation and evacuation as the commonest risk factor. The indolent nature of the associated vaginal discharge makes EOM predominantly diagnosed during evaluation for infertility.
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| format | Article |
| id | doaj-art-40e495c0308d43db8bd7ba1a25db142a |
| institution | Kabale University |
| issn | 2465-6666 2756-4657 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Babcock Medical Society |
| record_format | Article |
| series | Babcock University Medical Journal |
| spelling | doaj-art-40e495c0308d43db8bd7ba1a25db142a2025-01-05T18:31:40ZengBabcock Medical SocietyBabcock University Medical Journal2465-66662756-46572024-12-017210.38029/babcockuniv.med.j..v7i2.367When Hysteroscopy is the only way out; a case series of endometrial osseous metaplasiaJohn Imaralu0Taiwo Solaja1Oluwole Ayegbusi2Olukemi Grillo3Remilekun Atunrase-Sotola4Theophilus Elejere5Department of Obstetrics and Gynaecology, Babcock University Teaching Hospital, Ilisan-Remo. NigeriaDepartment of Anatomic Pathology, Babcock University Teaching Hospital, Ilisan-Remo. NigeriaDepartment of Obstetrics and Gynaecology, Obafemi Awolowo University Teaching Hospital, Ile-Ife, NigeriaDepartment of Obstetrics and Gynaecology, Babcock University Teaching Hospital, Ilisan-RemoDepartment of Obstetrics and Gynaecology, Babcock University Teaching Hospital, Ilisan-RemoDepartment of Obstetrics and Gynaecology, Babcock University Teaching Hospital, Ilisan-Remo Background: Endometrial osseous metaplasia (EOM) poses diagnostic and treatment dilemmas. Hysteroscopy is the gold standard in the diagnosis of endometrial pathologies and offers optimal treatment for osseous metaplasia. Case presentation: Five new cases of EOM were diagnosed within four years, giving an annual incidence of 5/101 (1.24%) of hysteroscopies and 5/583 (0.21%) of gynaecological surgeries. The patients’ mean age was 35.2 ± 10.0 years The diagnosis was made in all cases during evaluation for infertility with the duration of infertility ranging from 1-14 years. They all had a preceding pregnancy termination. All of the five patients had recurrent vaginal discharge, with durations ranging from 1-23 years. Bone tissue was retrieved from the endometrium in all cases, a long bone was impacted in a cephalo-caudal direction in one of the patients, requiring initial cephalad dislodgement before retrieval. After resection, the vaginal discharge stopped immediately and one of the patients conceived spontaneously and had a term delivery. Conclusion: EOM can best be diagnosed and treated by hysteroscopy. It is mostly preceded by pregnancy termination; with a mid-trimester dilatation and evacuation as the commonest risk factor. The indolent nature of the associated vaginal discharge makes EOM predominantly diagnosed during evaluation for infertility. http://bumj.babcock.edu.ng/index.php/bumj/article/view/367 |
| spellingShingle | John Imaralu Taiwo Solaja Oluwole Ayegbusi Olukemi Grillo Remilekun Atunrase-Sotola Theophilus Elejere When Hysteroscopy is the only way out; a case series of endometrial osseous metaplasia Babcock University Medical Journal |
| title | When Hysteroscopy is the only way out; a case series of endometrial osseous metaplasia |
| title_full | When Hysteroscopy is the only way out; a case series of endometrial osseous metaplasia |
| title_fullStr | When Hysteroscopy is the only way out; a case series of endometrial osseous metaplasia |
| title_full_unstemmed | When Hysteroscopy is the only way out; a case series of endometrial osseous metaplasia |
| title_short | When Hysteroscopy is the only way out; a case series of endometrial osseous metaplasia |
| title_sort | when hysteroscopy is the only way out a case series of endometrial osseous metaplasia |
| url | http://bumj.babcock.edu.ng/index.php/bumj/article/view/367 |
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