García León F, Kably Ambe A
Servicio de ginecología y obstetricia, Hospital ABC, Ciudad de México.
Ginecol Obstet Mex. 1999 Jan;67:37-41.
The osseous metaplasia of the endometrium is very rare cause of infertility. The hysteroscopic approach is a effective method to recover the fertility in most of the cases in a short period. The case of a infertile woman who was previous studied and has indications for laparoscopic and hysteroscopic approach. The infertility workup showed a intracavitary calcification on ultrasonography. During the surgery, the diagnosis of endometriosis and osseous metaplasia of the endometrium were done and treated with histologic confirmation. The patient conceived in her second spontaneous cycle. The hysteroscopy is the first approach in the treatment and should be doing with laparoscopy for the detection of other causes of infertility.
子宫内膜骨化生是导致不孕的极为罕见的原因。宫腔镜检查方法是在大多数情况下短期内恢复生育能力的有效方法。本文报道了一名曾接受过检查且有腹腔镜和宫腔镜检查指征的不孕女性病例。不孕检查显示超声检查发现宫腔内钙化。手术过程中，诊断为子宫内膜异位症和子宫内膜骨化生，并经组织学证实后进行了治疗。该患者在第二个自然周期怀孕。宫腔镜检查是治疗的首选方法，并且应与腹腔镜检查联合使用以检测不孕的其他原因。
