World Journal of Laparoscopic Surgery

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VOLUME 10 , ISSUE 2 ( May-August, 2017 ) > List of Articles


Osseous Metaplasia of Endometrium: A Very Rare Entity

Garima Gupta, Sunita Goyal, Divya Mahindru, Aparajita D’Souza

Citation Information : Gupta G, Goyal S, Mahindru D, D’Souza A. Osseous Metaplasia of Endometrium: A Very Rare Entity. World J Lap Surg 2017; 10 (2):69-72.

DOI: 10.5005/jp-journals-10033-1307

License: CC BY-NC 4.0

Published Online: 01-09-2011

Copyright Statement:  Copyright © 2017; The Author(s).



Osseous metaplasia of endometrium is a rare disorder characterized by the presence of mature or immature bone in the endometrium. The rarity of the case and high probability of missing out, which may lead to delay in appropriate treatment, makes this case of interest.

Case report

A 37-year-old lady, married for 10 years P2L2 with previous two lower-segment cesarean section, presented to the gynecology outpatient department with complaints of secondary infertility for past 7 years, irregular menstrual cycles, dysmenorrhea, and dyspareunia. Her general examination and bimanual exploration were normal. On ultrasonography, an echogenic foci was seen casting posterior acoustic shadow. On diagnostic laparohysteroscopy, multiple small coral-like white plaques–bony spicules were seen. They were removed using hysteroscopic forceps and submitted for histopathological study. A histological diagnosis of osseous metaplasia of endometrium was made. She is on follow-up for infertility treatment.


Endometrial ossification is a rare finding, which can be misdiagnosed and requires higher degree of suspicion to diagnose the condition properly. Hysteroscopy has been shown to be effective in the diagnosis and treatment of cases of osseous metaplasia of the endometrium associated with infertility.

How to cite this article

Gupta G, Mahindru D, D’Souza A, Goyal S. Osseous Metaplasia of Endometrium: A Very Rare Entity. World J Lap Surg 2017;10(2):69-72.

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