Aarti Diagnostic Centre, Kokilaben Dhirubhai Ambani Hospital, Navi Mumbai, India.
J Clin Ultrasound. 2024 Oct;52(8):1172-1175. doi: 10.1002/jcu.23738. Epub 2024 Jun 3.
Endometrial osseous metaplasia (EOM) is a rare condition characterized by abnormal bone formation in the endometrium. This acts as a foreign body in the uterus. The commonest clinical presentation is secondary infertility. Transvaginal ultrasonography is the mainstay of first-line diagnosis. Hysteroscopy confirms the diagnosis and aids in complete removal. Diagnosis of this condition is crucial as post-treatment fertility outcomes are good. This case highlights the importance of three-dimensional ultrasonography before infertility treatment and after hysteroscopic removal of osseous metaplasia to look for reactive endometrial polyps which may interfere with the embryo implantation and spontaneous conception altering the post-surgical fertility outcome.
子宫内膜骨化生（EOM）是一种罕见的疾病，其特征是子宫内膜内异常骨形成。这种情况在子宫内充当异物。最常见的临床表现是继发不孕。经阴道超声是一线诊断的主要依据。宫腔镜检查可明确诊断，并有助于完全切除。诊断这种疾病非常重要，因为治疗后的生育结局良好。本病例强调了在不孕治疗前和宫腔镜切除骨化生后进行三维超声检查的重要性，以寻找可能干扰胚胎着床和自然受孕的反应性子宫内膜息肉，从而改变手术后的生育结局。
