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Severe endometrial ossification with subsequent conception and placenta accreta: a case report
1Queen Elizabeth Hospital, South London National Health Service Trust, Woolwich, London, United Kingdom.
American Journal of Obstetrics and Gynecology
|July 14, 2012
Summary
Severe endometrial ossification, a rare uterine condition, can necessitate multiple procedures. Treating this condition may heighten the risk of placenta accreta, impacting future fertility and pregnancy.
Area of Science:
- Reproductive Medicine
- Gynecology
- Obstetrics
Background:
- Endometrial ossification is a rare condition characterized by the presence of bone tissue within the uterine lining.
- It can lead to significant gynecological issues, including infertility.
Observation:
- A severe case of endometrial ossification was observed.
- The patient required multiple hysteroscopic interventions to address the ossification and restore fertility.
Findings:
- Following treatment and restoration of fertility, the patient experienced a spontaneous conception.
- However, the pregnancy was complicated by placenta previa and placenta accreta, a serious placental abnormality.
Implications:
- Treatment for severe endometrial ossification, particularly hysteroscopic procedures, may inadvertently increase the risk of morbidly adherent placenta.
- This is potentially due to iatrogenic damage to the endometrium, disrupting normal placental implantation and leading to abnormal placentation.
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