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Abstract
La métaplasie osseuse de l’endomètre (MOE) ou ossification endométriale est une entité pathologie très rare. Nous rapportons le cas d’une ossification endométriale de découverte hystéroscopique à l’Hôpital Régionale de Garoua-Nord-Cameroun chez une patiente présentant une infertilité secondaire de cinq ans après une fausse couche spontanée tardive. L’hystéroscopie opératoire a permis l’extraction d’un fragment osseux coralliforme dont l’origine trophoblastique a été confirmée à l’examen anatomopathologique.
ABSTRACT
Endometrial bone metaplasia (EOM) or endometrial ossification is an infrequent pathological entity. We report the case of endometrial ossification of discovered through hysteroscopy at the Regional Hospital of Garoua-North-Cameroon in a patient with secondary infertility five years after a late spontaneous miscarriage. Operative hysteroscopy allowed the extraction of a coralliform bone fragment whose trophoblastic origin was confirmed on pathological examination.
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References
- Umashankar T, Patted S, Handigund R. Endometrial osseous metaplasia: Clinicopathological study of a case and literature review. J Hum Reprod Sci. mai 2010;3(2):102‑4.
- Nigar A, Yadav YK, Hakim S. Endometrial Osseous Metaplasia—A Rare Presentation of Polymenorrhagia: A Case Report. J Clin Diagn Res. avr 2015;9(4):QD07‑8.
- Creux H, Hugues J-N, Sifer C, Cédrin-Durnerin I, Poncelet C. [Fertility after endometrial osseous metaplasia elective hysteroscopic resection]. Gynecol Obstet Fertil. 2010;38(7‑8):460‑4.
- Graham O, Cheng LC, Parsons JH. The ultrasound diagnosis of retained fetal bones in West African patients complaining of infertility. BJOG. janv 2000;107(1):122‑4.
- Onderoglu LS, Yarali H, Gultekin M, Katlan D. Endometrial osseous metaplasia: an evolving cause of secondary infertility. Fertil Steril. nov 2008;90(5):2013.e9-11.
- Alorini M, Aziz M, Gromez A, Piton N, Sabourin J-C. Métaplasie osseuse de l’endomètre : à propos d’un cas. Annales de Pathologie. 1 déc 2017;37(6):488‑90.
- Benchimol M, Seince N, Tigazin A, Carbillon L, Uzan M. [Endometrial ossification: about one case]. Gynecol Obstet Fertil. oct 2003;31(10):841‑3.
- Bougie O, Acharya V, Haebe J, Singh SS. Endometrial ossification causing secondary infertility. J Obstet Gynaecol Can. juin 2014;36(6):473.
- Tulandi T, Al-Sunaidi M, Arseneau J, Tonin PN, Arcand SL. Calcified tissue of fetal origin in utero. Fertil Steril. janv 2008;89(1):217‑8.
- Mahdavi A, Kazemian S, Koohestani E. Secondary infertility due to intrauterine fetal bone retention: A case report and review of the literature. Int J Reprod Biomed. 3 sept 2019;17(8):591‑4.
- Cayuela E, Perez-Medina T, Vilanova J, Alejo M, Cañadas P. True osseous metaplasia of the endometrium: the bone is not from a fetus. Fertil Steril. avr 2009;91(4):1293.e1-4.
- Shimizu M, Nakayama M. Endometrial ossification in a postmenopausal woman. J Clin Pathol. févr 1997;50(2):171‑2.
- Bhatia NN, Hoshiko MG. Uterine osseous metaplasia. Obstet Gynecol. août 1982;60(2):256‑9.
- 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.
- 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. 2003;28(6):893‑6.
- Madaan M, Suman S, Sharma R, Kapoor N, Garg P, Raj SS. Osseous metaplasia of the endometrium and successful hysteroscopic resection: a report of two cases and a review of the literature. Asian J Endosc Surg. févr 2015;8(1):63‑6.
- Coccia ME, Becattini C, Bracco GL, Scarselli G. Ultrasound-guided hysteroscopic management of endometrial osseous metaplasia. Ultrasound Obstet Gynecol. août 1996;8(2):134‑6.
- Cicinelli E, Stanziano A, Parisi C, Marinaccio M, Causio F. Hysteroscopic diagnosis and treatment of endocervical ossification: a case report. J Minim Invasive Gynecol. 2005;12(2):159‑61.
- Marcus SF, Bhattacharya J, Williams G, Brinsden P, Hamou J. Endometrial ossification: a cause of secondary infertility. Report of two cases. Am J Obstet Gynecol. mai 1994;170(5 Pt 1):1381‑3.
- Niccoli V, Carillo C, Caruso MT, Lippa A, Serrao L. [Clinical-diagnostic considerations of a case of endometrial ossification as a cause of secondary infertility]. Minerva Ginecol. juin 1997;49(6):289‑91.
- Gulec UK, Parlakgumus HA, Kiliçdag EB, Bolat F, Bagis T. Osseous metaplasia of the endometrium. BMJ Case Rep. 19 août 2010;2010:bcr0420102931.
References
Umashankar T, Patted S, Handigund R. Endometrial osseous metaplasia: Clinicopathological study of a case and literature review. J Hum Reprod Sci. mai 2010;3(2):102‑4.
Nigar A, Yadav YK, Hakim S. Endometrial Osseous Metaplasia—A Rare Presentation of Polymenorrhagia: A Case Report. J Clin Diagn Res. avr 2015;9(4):QD07‑8.
Creux H, Hugues J-N, Sifer C, Cédrin-Durnerin I, Poncelet C. [Fertility after endometrial osseous metaplasia elective hysteroscopic resection]. Gynecol Obstet Fertil. 2010;38(7‑8):460‑4.
Graham O, Cheng LC, Parsons JH. The ultrasound diagnosis of retained fetal bones in West African patients complaining of infertility. BJOG. janv 2000;107(1):122‑4.
Onderoglu LS, Yarali H, Gultekin M, Katlan D. Endometrial osseous metaplasia: an evolving cause of secondary infertility. Fertil Steril. nov 2008;90(5):2013.e9-11.
Alorini M, Aziz M, Gromez A, Piton N, Sabourin J-C. Métaplasie osseuse de l’endomètre : à propos d’un cas. Annales de Pathologie. 1 déc 2017;37(6):488‑90.
Benchimol M, Seince N, Tigazin A, Carbillon L, Uzan M. [Endometrial ossification: about one case]. Gynecol Obstet Fertil. oct 2003;31(10):841‑3.
Bougie O, Acharya V, Haebe J, Singh SS. Endometrial ossification causing secondary infertility. J Obstet Gynaecol Can. juin 2014;36(6):473.
Tulandi T, Al-Sunaidi M, Arseneau J, Tonin PN, Arcand SL. Calcified tissue of fetal origin in utero. Fertil Steril. janv 2008;89(1):217‑8.
Mahdavi A, Kazemian S, Koohestani E. Secondary infertility due to intrauterine fetal bone retention: A case report and review of the literature. Int J Reprod Biomed. 3 sept 2019;17(8):591‑4.
Cayuela E, Perez-Medina T, Vilanova J, Alejo M, Cañadas P. True osseous metaplasia of the endometrium: the bone is not from a fetus. Fertil Steril. avr 2009;91(4):1293.e1-4.
Shimizu M, Nakayama M. Endometrial ossification in a postmenopausal woman. J Clin Pathol. févr 1997;50(2):171‑2.
Bhatia NN, Hoshiko MG. Uterine osseous metaplasia. Obstet Gynecol. août 1982;60(2):256‑9.
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.
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. 2003;28(6):893‑6.
Madaan M, Suman S, Sharma R, Kapoor N, Garg P, Raj SS. Osseous metaplasia of the endometrium and successful hysteroscopic resection: a report of two cases and a review of the literature. Asian J Endosc Surg. févr 2015;8(1):63‑6.
Coccia ME, Becattini C, Bracco GL, Scarselli G. Ultrasound-guided hysteroscopic management of endometrial osseous metaplasia. Ultrasound Obstet Gynecol. août 1996;8(2):134‑6.
Cicinelli E, Stanziano A, Parisi C, Marinaccio M, Causio F. Hysteroscopic diagnosis and treatment of endocervical ossification: a case report. J Minim Invasive Gynecol. 2005;12(2):159‑61.
Marcus SF, Bhattacharya J, Williams G, Brinsden P, Hamou J. Endometrial ossification: a cause of secondary infertility. Report of two cases. Am J Obstet Gynecol. mai 1994;170(5 Pt 1):1381‑3.
Niccoli V, Carillo C, Caruso MT, Lippa A, Serrao L. [Clinical-diagnostic considerations of a case of endometrial ossification as a cause of secondary infertility]. Minerva Ginecol. juin 1997;49(6):289‑91.
Gulec UK, Parlakgumus HA, Kiliçdag EB, Bolat F, Bagis T. Osseous metaplasia of the endometrium. BMJ Case Rep. 19 août 2010;2010:bcr0420102931.