title: A postconization hematometra revealed a rare case of endocervical bone metaplasia.
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.
  
  
  METHODS
  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.
authors: 1Division of Obstetrics and Gynecology, Cesare Magati Hospital, Scandiano; 2Cervical Cancer Screening Centre, and 3Department of Pathology, IRCCS- Arcispedale Santa Maria Nuova, Reggio Emilia, Italy.
authors: Luca
authors: L
authors: Giannella
authors: Maria Carolina
authors: MC
authors: Gelli
authors: Kabala
authors: K
authors: Mfuta
authors: Sonia
authors: S
authors: Prandi
mesh_terms: D000328:Adult; D001842:Bone and Bones / Q000473:pathology*; D002584:Cervix Uteri / Q000473:pathology*; D019092:Conization / Q000009:adverse effects*; D005260:Female; D006409:Hematometra / Q000175:diagnosis* / Q000209:etiology*; D006651:Histocytochemistry; D006801:Humans; D008679:Metaplasia / Q000175:diagnosis* / Q000473:pathology*; D008853:Microscopy