Endometrial osseous metaplasia in a patient with secondary infertility referred for hysterosalpingogram with ultrasound.

Endometrial osseous metaplasia is a rare entity resulting in the formation of trabecular bone fragments within the uterine cavity and frequently presents as secondary infertility with a history of previous pregnancy loss or termination. The unusual transvaginal ultrasound appearances are important to recognise, as fertility is often restored after hysteroscopic removal of the bone fragments from the uterine cavity.

Laparoscopic drainage of hematocolpos: a new treatment option for the acute management of a transverse vaginal septum.

OBJECTIVE: To describe a novel technique for the acute management of a transverse vaginal septum with hematocolpos. DESIGN: Retrospective case series. SETTING: Secondary- and tertiary-care centers in Australia and New Zealand. PATIENT(S): Three patients with a transverse vaginal septum presenting with pain and a hematocolpos. INTERVENTION(S): Laparoscopic drainage of the hematocolpos. MAIN OUTCOME MEASURE(S): Pain relief until definitive resection of the transverse vaginal septum. RESULT(S): All patients were free of pain after the procedure. Two patients had a second laparoscopic procedure to drain the hematocolpos which had reaccumulated while awaiting definitive surgery. All three patients have undergone resection of the septum. CONCLUSION(S): Laparoscopic drainage provides a novel approach to the acute management of a transverse vaginal septum, providing pain relief without compromising the success of definitive surgery which can be performed at a later date.