Conference abstract
Intrauterine bone findings among women attending hysteroscopy at CHRACERH - Yaoundé: report of 6 cases
Pan African Medical Journal - Conference Proceedings. 2023:17(67).04
Jun 2023.
doi: 10.11604/pamj-cp.2023.17.67.1560
Archived on: 04 Jun 2023
Contact the corresponding author
Keywords: Bone, intrauterine, hysteroscopy, CHRACERH, Cameroon
Poster
Intrauterine bone findings among women attending hysteroscopy at CHRACERH - Yaoundé: report of 6 cases
Serge Robert Nyada1,2,&, Etienne Belinga1,2, Vanina Ngono Akam1, Annie Ngassam1, Yves Bertrand Kasia Onana1, Pascale Mpono1, Sandrine Mendibi1, Cyrille Claude Noa Ndoua1,2, Jean Marie Kasia1,2
1Centre Hospitalier de Recherche et d´Application en Chirurgie Endoscopique et Reproduction Humaine Paul et Chantal Biya, Yaoundé (CHRACERH), Yaoundé, Cameroon, 2Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon
&Corresponding author
Introduction: the presence of intrauterine bone structures during hysteroscopy is an unusual finding.
Methods: we carried out a retrospective descriptive study at the Centre Hospitalier de Recherche et d’Application en Chirurgie Endoscopique et Reproduction Humaine (CHRACERH) between September 1st, 2017 to August 31st, 2022. The CHRACERH is a public facility addressing infertility and is dedicated to minimally invasive surgery in Yaoundé – Cameroon. All procedures of hysteroscopy performed in the operating room were reviewed. We enrolled all cases of patients reporting the presence of intrauterine bones during the procedure.
Results: we found six cases of intrauterine bone structures out of 854 hysteroscopies. The prevalence over the 5-year period was 0,7%. The mean age of patients was 35.2 years. All patients revealed a past history of mid-trimester abortion. For one patient, the history of abortion was confessed retrospectively after the diagnosis of retained bony fragments. A past history of Sexually Transmitted Infection was recorded for three patients (50%). The clinical symptoms included infertility in all patients (100%), lower abdominal pain in three (50%) and oligomenorrhoea in two (33.3%). A routine workup identified the presence of intrauterine calcifications in five patients (83.3%). In one case, the finding of bone structure was fortuitous. The hysteroscopic procedure permitted the complete retrieval of all bone fragments. There were no complications.
Conclusion: the prevalence of intrauterine bone findings during hysteroscopy at CHRACERH was 0.7%. All patients complained of infertility and recorded a past history of mid-trimester abortion. Hysteroscopy permitted a successful and safe retrieval of all bone fragments.
Intrauterine bone findings among women attending hysteroscopy at CHRACERH - Yaoundé: report of 6 cases
Serge Robert Nyada1,2,&, Etienne Belinga1,2, Vanina Ngono Akam1, Annie Ngassam1, Yves Bertrand Kasia Onana1, Pascale Mpono1, Sandrine Mendibi1, Cyrille Claude Noa Ndoua1,2, Jean Marie Kasia1,2
1Centre Hospitalier de Recherche et d´Application en Chirurgie Endoscopique et Reproduction Humaine Paul et Chantal Biya, Yaoundé (CHRACERH), Yaoundé, Cameroon, 2Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon
&Corresponding author
Introduction: the presence of intrauterine bone structures during hysteroscopy is an unusual finding.
Methods: we carried out a retrospective descriptive study at the Centre Hospitalier de Recherche et d’Application en Chirurgie Endoscopique et Reproduction Humaine (CHRACERH) between September 1st, 2017 to August 31st, 2022. The CHRACERH is a public facility addressing infertility and is dedicated to minimally invasive surgery in Yaoundé – Cameroon. All procedures of hysteroscopy performed in the operating room were reviewed. We enrolled all cases of patients reporting the presence of intrauterine bones during the procedure.
Results: we found six cases of intrauterine bone structures out of 854 hysteroscopies. The prevalence over the 5-year period was 0,7%. The mean age of patients was 35.2 years. All patients revealed a past history of mid-trimester abortion. For one patient, the history of abortion was confessed retrospectively after the diagnosis of retained bony fragments. A past history of Sexually Transmitted Infection was recorded for three patients (50%). The clinical symptoms included infertility in all patients (100%), lower abdominal pain in three (50%) and oligomenorrhoea in two (33.3%). A routine workup identified the presence of intrauterine calcifications in five patients (83.3%). In one case, the finding of bone structure was fortuitous. The hysteroscopic procedure permitted the complete retrieval of all bone fragments. There were no complications.
Conclusion: the prevalence of intrauterine bone findings during hysteroscopy at CHRACERH was 0.7%. All patients complained of infertility and recorded a past history of mid-trimester abortion. Hysteroscopy permitted a successful and safe retrieval of all bone fragments.
