Simultaneous osseous metaplasia nodules of the submucosa and mesosalpinx after first trimester abortion: a case report.
OBJECTIVE
Here, we report a case of simultaneous osseous metaplasia nodules of the submucosa and mesosalpinx after a first trimester abortion.


METHODS
A 36-year-old woman presented to the Women's Hospital, School of Medicine, Zhejiang University with vaginal bleeding and infertility resulting from osseous metaplasia nodules of the submucosa and mesosalpinx after a first trimester abortion. Diagnostic and operative hysteroscopy and laparoscope procedures were performed. The osseous metaplasia nodules disappeared after hysteroscopy and laparoscope interventions; 2 weeks postoperatively, the patient underwent a transvaginal ultrasound examination and the abnormal ultrasound appearance had resolved.


CONCLUSIONS
Osseous metaplasia nodules in the submucosa and mesosalpinx can be a rare cause of vaginal bleeding and infertility. Autologous tissue, not persistent heterologous tissue, may be the true reason for metaplasia. Treatment is by ultrasound-guided curettage or by hysteroscopic and laparoscope removal.
Zhou
Z
Feng
Qin
Q
Jiale
Zhang
Z
Xiaofei
Guo
G
Qingyun
Department of Obstetrics and Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, 1 Xueshi Road, Hangzhou, Zhejiang Province 310006, People's Republic of China. 20618235@163.com.
Huang
H
Lili
D000022:Abortion, Spontaneous / Q000000981:diagnostic imaging / Q000473:pathology*; D000328:Adult; D001842:Bone and Bones / Q000000981:diagnostic imaging / Q000473:pathology*; D005187:Fallopian Tubes / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D008679:Metaplasia; D009092:Mucous Membrane / Q000000981:diagnostic imaging / Q000473:pathology*; D061330:Multidetector Computed Tomography; D010388:Pelvis / Q000000981:diagnostic imaging; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D014463:Ultrasonography