tailieunhanh - Báo cáo y học: "Osseous metaplasia of the endometrium associated with infertility: a case report and review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Osseous metaplasia of the endometrium associated with infertility: a case report and review of the literature | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Osseous metaplasia of the endometrium associated with infertility a case report and review of the literature Julio César Rosa-e-Silva lonara Diniz Barcelos Paula Andrea Navarro Ana Carolina Japur de Sá Rosa-e-Silva Antonio Alberto Nogueira and Rui Alberto Ferriani Address Department of Gynecology and Obstetrics Faculty of Medicine of Ribeirão Preto University of São Paulo São Paulo Brazil Email JCR - juliocrs@ IDB - ionarabarcelos@ PAN - paasnavarro@ ACJSR - anasars@ AAN - aanoguei@ RAF - raferria@ Corresponding author Received 9 February 2008 Accepted 19 February 2009 Published 10 September 2009 Journal ofMedical Case Reports 2009 3 7427 doi 1752-1947-3-7427 This article is available from http jmedicalcasereports article view 7427 2009 Rosa-e-Silva et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Endometrial ossification is an uncommon disease related to secondary infertility and its etiology and pathogenesis are controversial. More than 80 of reported cases occur after pregnancy. Case presentation A 33-year-old Caucasian woman was admitted with a history of secondary infertility and with a regular menstrual cycle. She reported a miscarriage at 12 weeks of gestation 7 years previously and subsequent dilatation and curettage in another medical facility. Vaginal ultrasound was performed and showed an intrauterine structure described as a hyperechogenic image suggesting calcification related to chronic endometritis. Office hysteroscopy revealed a wide endometrial cavity and proliferative endometrium with a coral-like white plaque cm in .