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Ultrasonography-Guided Transvaginal Endometrial Biopsy: A Useful Technique in Patients With Cervical Stenosis

Hammoud, Ahmad O. MD1; Deppe, Gunter MD1; Elkhechen, Sahar S.2; Johnson, Samuel MD3

Case Report

BACKGROUND: In patients with failed dilatation and curettage due to stenotic cervix, options for endometrial sampling are limited. We propose the ultrasonography-guided transvaginal endometrial biopsy.

CASES: Two postmenopausal women presented with bleeding and failed dilatation and curettage due to a stenotic cervix. Under direct transvaginal ultrasound guidance, a 20-gauge needle was inserted through the vaginal vault and anterior uterine wall into the endometrium. The endometrium was aspirated, and specimen was submitted to cytology. One patient had endometrial adenocarcinoma and underwent a staging procedure. The other patient had a benign cytology and was followed up clinically.

CONCLUSION: The ultrasonography-guided endometrial biopsy is a viable option for endometrial sampling in the presence of stenotic cervix.

The ultrasonography-guided endometrial biopsy is an effective method for endometrial sampling in the presence of postmenopausal bleeding and a stenotic cervix.

From the Departments of 1Obstetrics and Gynecology, 2Physiology, and 3Radiology, Wayne State University, Detroit, Michigan.

This study was accepted as poster presentation in the 52nd annual meeting of the Society of Gynecologic Investigation, March 2005, Los Angeles, California.

Corresponding author: Ahmad Omar Hammoud, MD, Department of Obstetrics and Gynecology, Hutzel Women’s Hospital, Wayne State University, 3909 John R Street, Detroit, MI 48201; e-mail:

© 2006 The American College of Obstetricians and Gynecologists