Article Sidebar
Main Article Content
Abstract
RÉSUMÉ
La présence de fragments d’os dans l’endomètre constitue une trouvaille rare. Nous rapportons deux cas d’ossification endométriale de découverte hystéroscopique au Centre Hospitalier de Recherche et d’Application en Chirurgie Endoscopique et Reproduction Humaine Paul et Chantal Biya – Yaoundé (CHRACERH) entre mars 2021 et mars 2022. Les patientes présentaient une infertilité secondaire et un antécédent d’interruption volontaire de grossesse tardive. L’hystéroscopie opératoire a permis le diagnostic et l’extraction complète de tous les fragments osseux. L’analyse macroscopique desdits fragments a permis d’identifier des os du squelette fœtal. La procédure n’a comporté aucune complication.
ABSTRACT
The presence of intrauterine bone fragments is a rare condition. We found two cases of endometrial ossifications during hysteroscopic procedures between March 2021 to March 2022 at the Gynaecological Endoscopic Surgery and Human Reproduction Teaching Hospital Paul et Chantal Biya – Yaoundé. Both patients complained of secondary infertility and had a past-history of second trimester abortion. Hysteroscopy revealed the presence of bone structures, which later on were completely removed. On macroscopic examination, the specimen proved to contain foetal bones. There was no complication.
Keywords
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
- Fernandez H, Garbin O, Gervaise A. Hystéroscopie et fertiloscopie. Elsevier Masson, Techniques chirurgicales – Gynécologie. 2013 : 208-209.
- Camus M, Ropert JF, Iloki LH, Lefebvre G, Tranbaloc P. [Endometrial ossification. A propos of 5 recent cases]. J Gynecol Obstet Biol Reprod (Paris). 1990; 19(3):295‑300.
- Graham O, Cheng LC, Parsons JH. The ultrasound diagnosis of retained fetal bones in West African patients complaining of infertility. BJOG: An international journal of O&G. 2000; 107(1):122‑4.
- Connor ME, Clark TJ. Diagnostic and operative hysteroscopy. Cambridge University Press. 2020; 51-53
- Shimizu M, Nakayama M. Endometrial ossification in a postmenopausal woman. Journal of Clinical Pathology. 1997; 50(2):171‑2.
- Ruiz-Velasco V, Alfani GG, Sánchez LP, Vera MA. Endometrial pathology and infertility. Fertility and Sterility. 1997; 67(4):687‑92.
- Van den Bosch T, Dubin M, Cornelis A. Favorable pregnancy outcome in a woman with osseous metaplasia of the uterus. Ultrasound in Obstetrics & Gynecology. 2000; 15(5):445‑6.
- Naftalin NJ. A bone of contention: an unusual case of secondary infertility. BJOG: An International Journal of Obstetrics & Gynaecology. 1999; 106(10):1098‑9.
- Wetzels LCG, Essed GGM, Haan J de, Kar AJF van de, Willebrand D. Endometrial Ossification: Unilateral Manifestation in a Septate Uterus. GOI. 1982; 14(1):47‑55.
- Patai K, Sipos M, Vígváry Z, Harkányi Z. Incrustation of contraceptive devices: ultrasound as a diagnostic tool. Ultrasound Obstet Gynecol. juill 1997;10(1):74‑5.
- Ombelet W, Lauwers M, Verswijvel G, Grieten M, Hinoul P, Mestdagh G. Endometrial ossification and infertility: the diagnostic value of different imaging techniques. Abdom Imaging [Internet]. 2003 [cité 12 avr 2022];28(6). Disponible sur: http://link.springer.com/10.1007/s00261-003-0046-6
- Makris N, Stefanidis K, Loutradis D, Anastasiadou K, Hatjipappas G, Antsaklis A. The incidence of retained fetal bone revealed in 2000 diagnostic hysteroscopies. Journal of the Society of Laparoendoscopic Surgeons. 2006; 10: 76-77.
- Benchimol M, Seince N, Tigazin A, Carbillon L, Uzan M. Métaplasie ostéoïde de l’endomètre : à propos d’un cas. Gynécologie Obstétrique & Fertilité. 2003; 31(10):841‑3.
- Pace S, Torcia F, Palazzetti PL, Piazze JJ, Cipriano L, Pachì A. Successful diagnostic and surgical hysteroscopy for endometrial ossification. Clin Exp Obstet Gynecol. 2001; 28(1):24‑5.
- Creux H, Hugues J-N, Sifer C, Cédrin-Durnerin I, Poncelet C. Fertilité après résection élective hystéroscopique de lésions de métaplasie ostéoïde de l’endomètre. Gynécologie Obstétrique & Fertilité. 2010; 38(7):460‑4.
References
Fernandez H, Garbin O, Gervaise A. Hystéroscopie et fertiloscopie. Elsevier Masson, Techniques chirurgicales – Gynécologie. 2013 : 208-209.
Camus M, Ropert JF, Iloki LH, Lefebvre G, Tranbaloc P. [Endometrial ossification. A propos of 5 recent cases]. J Gynecol Obstet Biol Reprod (Paris). 1990; 19(3):295‑300.
Graham O, Cheng LC, Parsons JH. The ultrasound diagnosis of retained fetal bones in West African patients complaining of infertility. BJOG: An international journal of O&G. 2000; 107(1):122‑4.
Connor ME, Clark TJ. Diagnostic and operative hysteroscopy. Cambridge University Press. 2020; 51-53
Shimizu M, Nakayama M. Endometrial ossification in a postmenopausal woman. Journal of Clinical Pathology. 1997; 50(2):171‑2.
Ruiz-Velasco V, Alfani GG, Sánchez LP, Vera MA. Endometrial pathology and infertility. Fertility and Sterility. 1997; 67(4):687‑92.
Van den Bosch T, Dubin M, Cornelis A. Favorable pregnancy outcome in a woman with osseous metaplasia of the uterus. Ultrasound in Obstetrics & Gynecology. 2000; 15(5):445‑6.
Naftalin NJ. A bone of contention: an unusual case of secondary infertility. BJOG: An International Journal of Obstetrics & Gynaecology. 1999; 106(10):1098‑9.
Wetzels LCG, Essed GGM, Haan J de, Kar AJF van de, Willebrand D. Endometrial Ossification: Unilateral Manifestation in a Septate Uterus. GOI. 1982; 14(1):47‑55.
Patai K, Sipos M, Vígváry Z, Harkányi Z. Incrustation of contraceptive devices: ultrasound as a diagnostic tool. Ultrasound Obstet Gynecol. juill 1997;10(1):74‑5.
Ombelet W, Lauwers M, Verswijvel G, Grieten M, Hinoul P, Mestdagh G. Endometrial ossification and infertility: the diagnostic value of different imaging techniques. Abdom Imaging [Internet]. 2003 [cité 12 avr 2022];28(6). Disponible sur: http://link.springer.com/10.1007/s00261-003-0046-6
Makris N, Stefanidis K, Loutradis D, Anastasiadou K, Hatjipappas G, Antsaklis A. The incidence of retained fetal bone revealed in 2000 diagnostic hysteroscopies. Journal of the Society of Laparoendoscopic Surgeons. 2006; 10: 76-77.
Benchimol M, Seince N, Tigazin A, Carbillon L, Uzan M. Métaplasie ostéoïde de l’endomètre : à propos d’un cas. Gynécologie Obstétrique & Fertilité. 2003; 31(10):841‑3.
Pace S, Torcia F, Palazzetti PL, Piazze JJ, Cipriano L, Pachì A. Successful diagnostic and surgical hysteroscopy for endometrial ossification. Clin Exp Obstet Gynecol. 2001; 28(1):24‑5.
Creux H, Hugues J-N, Sifer C, Cédrin-Durnerin I, Poncelet C. Fertilité après résection élective hystéroscopique de lésions de métaplasie ostéoïde de l’endomètre. Gynécologie Obstétrique & Fertilité. 2010; 38(7):460‑4.