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TI  - Endometrial ossification:  Unusual cause of chronic pelvic pain in low-resource settings 
SN  - 2766-7820
PY  - 2023///
CY  - Mwanza, Tanzania : 
PB  - Catholic University of Health and Allied Sciences [CUHAS-Bugando] : 
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N2  - Abstract :

Introduction: Endometrial ossification is a rare condition in which its actual etiology and pathogenesis is controversial and debatable however, the condition is usually related to secondary infertility after abortion and endometritis.

Case presentation: A 32-year-old para 2 living 1 lady who presented with long-standing intermittent sharp pelvic pain for seven years. She was a self-referral to BMC gynecology outpatient unit due to chronic pelvic pain. No prior history of intrauterine copper device insertion. Upon evaluation, she had normal ovulatory cycles. A pelvic x-ray could not show any spine deformities or any pelvic abnormalities. During transabdominal pelvic ultrasound imaging, a well-defined thick linear hyperechogenic structure with acoustic shadowing was seen in the endometrial cavity measuring 2 x 3 cm aligned to endometrial strips. Ultrasound guided sharp dilatation & curettage (D&C) was performed by using ovum forceps in which we successfully removed a tubular structure measuring 2.3 by 3.4 cm with sharp ends deep in the endometrium. Histopathological analysis revealed trabecula and extracellular matrix osteocytes in keeping with endometrial ossification. 

Conclusion: Endometrial ossification can be effectively treated with ultrasound guided dilation and curettage as an alternative to hysteroscopy

UR  -  www.doi.org/10.52768/2766-7820/2482
ER  -