Abstract
BACKGROUND: Hematometra is an unusual occurrence in young women undergoing conization; moreover, osseous metaplasia of the uterine cervix is a very rare event, with 7 cases in the literature. A postconization hematometra due to endocervical ossification is a unique occurrence. The authors report such an event. CASE: A young woman undergoing conization developed progressive hypoamenorrhea with pelvic pain. Pregnancy test was negative and a transvaginal ultrasound showed an image of suspected hematometra. Diagnostic hysteroscopy showed an endocervical obstruction due to a bone formation of the uterine cervix, which was removed with an office operative hysteroscopy. After surgery, the patient restored normal menstrual cycle. Histological examination revealed a cervical bone metaplasia. CONCLUSIONS: In premenopausal women undergoing conization, the appearance of a progressive hypoamenorrhea with pelvic pain could suggest a cervical mechanical obstruction that could be an uncommon stenosis. Despite this case represents a very rare event, a postconization hematometra due to an endocervical ossification can be managed with an office operative hysteroscopy.
| Original language | English |
|---|---|
| Journal | Journal of Lower Genital Tract Disease |
| Volume | 18 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jan 2014 |
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Keywords
- cervix
- conization
- endocervical ossification
- hematometra
- osseous metaplasia
ASJC Scopus subject areas
- Obstetrics and Gynaecology
Cite this
A postconization hematometra revealed a rare case of endocervical bone metaplasia. / Giannella, Luca; Gelli, Maria Carolina; Mfuta, Kabala; Prandi, Sonia.
In: Journal of Lower Genital Tract Disease, Vol. 18, No. 1, 01.2014.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A postconization hematometra revealed a rare case of endocervical bone metaplasia
AU - Giannella, Luca
AU - Gelli, Maria Carolina
AU - Mfuta, Kabala
AU - Prandi, Sonia
PY - 2014/1
Y1 - 2014/1
N2 - BACKGROUND: Hematometra is an unusual occurrence in young women undergoing conization; moreover, osseous metaplasia of the uterine cervix is a very rare event, with 7 cases in the literature. A postconization hematometra due to endocervical ossification is a unique occurrence. The authors report such an event. CASE: A young woman undergoing conization developed progressive hypoamenorrhea with pelvic pain. Pregnancy test was negative and a transvaginal ultrasound showed an image of suspected hematometra. Diagnostic hysteroscopy showed an endocervical obstruction due to a bone formation of the uterine cervix, which was removed with an office operative hysteroscopy. After surgery, the patient restored normal menstrual cycle. Histological examination revealed a cervical bone metaplasia. CONCLUSIONS: In premenopausal women undergoing conization, the appearance of a progressive hypoamenorrhea with pelvic pain could suggest a cervical mechanical obstruction that could be an uncommon stenosis. Despite this case represents a very rare event, a postconization hematometra due to an endocervical ossification can be managed with an office operative hysteroscopy.
AB - BACKGROUND: Hematometra is an unusual occurrence in young women undergoing conization; moreover, osseous metaplasia of the uterine cervix is a very rare event, with 7 cases in the literature. A postconization hematometra due to endocervical ossification is a unique occurrence. The authors report such an event. CASE: A young woman undergoing conization developed progressive hypoamenorrhea with pelvic pain. Pregnancy test was negative and a transvaginal ultrasound showed an image of suspected hematometra. Diagnostic hysteroscopy showed an endocervical obstruction due to a bone formation of the uterine cervix, which was removed with an office operative hysteroscopy. After surgery, the patient restored normal menstrual cycle. Histological examination revealed a cervical bone metaplasia. CONCLUSIONS: In premenopausal women undergoing conization, the appearance of a progressive hypoamenorrhea with pelvic pain could suggest a cervical mechanical obstruction that could be an uncommon stenosis. Despite this case represents a very rare event, a postconization hematometra due to an endocervical ossification can be managed with an office operative hysteroscopy.
KW - cervix
KW - conization
KW - endocervical ossification
KW - hematometra
KW - osseous metaplasia
UR - http://www.scopus.com/inward/record.url?scp=84894084226&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84894084226&partnerID=8YFLogxK
U2 - 10.1097/LGT.0b013e3182914eef
DO - 10.1097/LGT.0b013e3182914eef
M3 - Article
C2 - 23959299
AN - SCOPUS:84894084226
VL - 18
JO - Journal of Lower Genital Tract Disease
JF - Journal of Lower Genital Tract Disease
SN - 1089-2591
IS - 1
ER -