ENDOMETRIAL OSSEOUS METAPLASIA: A REPORT OF TWO CASES AND BRIEF LITERATURE REVIEW

Jaouad Kouach, Fatimazahra Ait El Fadel, Mounir Moukit*, Moulay El Mehdi El Hassani, Driss Moussaoui Rahali, Mohammed Dehayni and Amina Kili,

ABSTRACT

Endometrial osseous metaplasia is an uncommon entity with the presence of bone in the endometrium. In most cases reported, ossification was followed by an abortion and patients presented with secondary infertility. Here, we present two cases; the first has secondary infertility after voluntary interruption of pregnancy and the second has been admitted for persistent vaginal bleeding after vacuum aspiration. In both cases, transvaginal ultrasonography showed an intrauterine hyperechogenic lesion. Hysteroscopy revealed multiple white spicules of bony material in the uterine cavity. These lesions have been treated by hysteroscopic removal.

Keywords: Osseous metaplasia; transvaginal ultrasonography; hysteroscopy.