Novel Management of Endometrial Osseous Metaplasia

Akanksha Sood, Emilie Lewis, Ben Grey and Lamiya Mohiyiddeen

Department of Reproductive Medicine, Manchester University Hospitals NHS Foundation Trust, UK
Department of Gynecology, Salford Royal NHS Foundation Trust, UK
Department of Urology, Central Manchester University Hospitals NHS Foundation Trust, UK

^*Correspondance to: Lamiya Mohiyiddeen 

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Abstract:

Background: Osseous metaplasia of the endometrium is rare. Hysteroscopic resection of the bony fragments is usually offered. However, if the bony tissue is adherent or embedded in the myometrium, there is a risk of uterine perforation when the resectoscope or hysteroscopic scissors are used.
Case: A 37 year old woman, presenting with secondary subfertility, was diagnosed with osseous metaplasia based on ultrasound and hysteroscopy. We report a novel technique undertaken jointly with urology team. Under general anesthesia, rigid operative hysteroscopy was performed and lithotripsy device was used to fragment the osseous tissue in the uterine cavity. The bony fragments were retrieved using hysteroscopic graspers.
Conclusion: Per Cervical Utero Lithotripsy is minimally invasive and effective, making it a safer option as compared to other interventions.

Keywords:

Endometrial; Osseous metaplasia; Hysteroscopic

Cite the Article:

Sood A, Lewis E, Grey B, Mohiyiddeen L. Novel Management of Endometrial Osseous Metaplasia. World J Surg Surgical Res. 2019; 2: 1164..