Endometrial osseous metaplasia mimicking retained intrauterine device: a case report.

Abstract

BACKGROUND:

Osseous metaplasia of the endometrium is a rare disorder and can be associated with infertility. Although successful diagnosis and treatment have been widely reported, correct diagnosis in many cases still represents a challenge.

CASE:

A 40-year-old woman complaining of infertility presented with a diagnosis of retained intrauterine device (IUD) on ultrasound. Hysteroscopy revealed a normal endometrial cavity, but no IUD was visualized. Curettage pathology specimens showed chronic endometritis and calcification. Repeat hysteroscopy was performed because of persistent echogenic foci in the endometrium on follow-up ultrasound. Several irregular and calcified plaques were successfully removed.

CONCLUSION:

Osseous metaplasia can be misdiagnosed because of its rare incidence. Physicians should be aware of osseous metaplasia in the differential diagnosis of patients with uncertain history who present with a sonographic image resembling an IUD.

• Authors: Ming C Tsai, Alisa Arunamata, Sigrid Tristan, Hugh W Randall
• Journal: The Journal of reproductive medicine (J Reprod Med) Vol. 53 Issue 11 Pg. 877-80 (Nov 2008) ISSN: 0024-7758 [Print] United States
• PMID: 19097523 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Diagnostic Errors
• Dilatation and Curettage
• Endometrium (diagnostic imaging, pathology)
• Female
• Humans
• Hysteroscopy
• Intrauterine Devices (adverse effects)
• Metaplasia (diagnosis, pathology)
• Ossification, Heterotopic (diagnostic imaging, surgery)
• Ultrasonography