Onderoglu Lutfu Sabri, Yarali Hakan, Gultekin Murat, Katlan Doruk
Department of Obstetrics and Gynecology, Faculty of Medicine, Hacettepe University, Sihhiye, Ankara, Turkey.
Fertil Steril. 2008 Nov;90(5):2013.e9-11. doi: 10.1016/j.fertnstert.2008.01.001. Epub 2008 Mar 5.
To present an endometrial osseous metaplasia case and reemphasize that the condition is a cause of secondary infertility.
Case report.
Department of Obstetrics and Gynecology in a university hospital in Turkey.
PATIENT(S): A 33-year-old multiparous woman was admitted to our institution with secondary infertility that had lasted for 2 years. She had experienced one first-trimester and one second-trimester abortion, 3 years and 2 years ago, respectively. On transvaginal sonography, a linear curvy echogenity was observed.
INTERVENTION(S): Hysteroscopic examination revealed multiple bony spicules, extending perpendicularly from the posterior uterine wall in to the uterine cavity and occupying almost two thirds of the cavity. Thereafter, a resectoscopic excision of the bony spicules was performed.
MAIN OUTCOME MEASURE(S): A normal endometrium and uterine cavity.
RESULT(S): Two weeks after the operation, ultrasonographic evaluation was in the normal range, and the patient currently is trying to conceive spontaneously.
CONCLUSION(S): Although the role of office hysteroscopy in the evaluation of infertile couple is still under debate, clinicians should keep this rare disorder in mind, especially in patients with a history of late abortion, and should evaluate such cases by hysteroscopy when sonographic features are encountered.
报告一例子宫内膜骨化生病例，并再次强调该病症是继发性不孕的一个原因。
病例报告。
土耳其一所大学医院的妇产科。
一名33岁经产妇因持续2年的继发性不孕入住我院。她分别在3年前和2年前经历了一次孕早期流产和一次孕中期流产。经阴道超声检查发现一条线性弯曲的高回声带。
宫腔镜检查发现多个骨针，从子宫后壁垂直延伸至子宫腔，占据了几乎三分之二的宫腔。此后，通过电切镜切除了骨针。
正常的子宫内膜和子宫腔。
术后两周，超声检查评估在正常范围内，患者目前正尝试自然受孕。
尽管门诊宫腔镜检查在不孕夫妇评估中的作用仍存在争议，但临床医生应牢记这种罕见疾病，尤其是有晚期流产史的患者，当遇到超声特征时，应通过宫腔镜检查评估此类病例。
