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A Rare Case of the Cervical Endometriosis and Overview of the Literature

  • Reproductive Endocrinology: Case Study
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A Correction to this article was published on 04 May 2023

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Abstract

Cervical endometriosis is an uncommon form of endometriosis that is frequently diagnosed incidentally during histopathological evaluation of a hysterectomy or cervical biopsy specimens. Although some cases may be asymptomatic, the symptoms in some patients range from life-threatening hemorrhage to severe chronic pelvic pain. In asymptomatic patients, no further intervention might be required apart from observation and follow-up; however, patients with significant symptoms will require surgery. Primary cervical endometriosis is defined as presence of endometrial tissue on the anterior lip of the cervix, limited to the cervix surface and not extending below the squamous epithelium. Secondary cervical endometriosis is more common than the primary type and describes the disease extensions from the pelvis, or usually the rectovaginal septum. Superficial endometriosis is usually diagnosed by fine-needle aspiration, colposcopy, and cervical biopsy after a routine cervical smear, as endometrial cells detected during a PAP smear may be mistakenly removed as atypical glandular cells. Deep endometriosis may cause pelvic pain, vaginal bleeding, and spotting. In this case report, we present a rare case of cervical endometriosis, characterized by pelvic pain and menstrual irregularity, with endometrioma and adenomyosis, confirmed by histopathological evaluation of the specimen. A summary of the cervical endometriosis cases overview has been made to describe the changing clinical landscape of this rare condition.

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As a hospital policy, before each procedure, written informed consent was obtained from each patient that gave permission to use the medical data anonymously for future studies.

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Authors and Affiliations

  1. Department of Reproductive Endocrinology and IVF, Etlik Zubeyde Lady Women Health Training and Research Hospital, University of Health Sciences, Ankara, Turkey

    Sule Atalay Mert, Berna Dilbaz, Emel Ebru Ercan & Firdevs Sahin Duran

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  1. Sule Atalay Mert
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  2. Berna Dilbaz
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  3. Emel Ebru Ercan
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  4. Firdevs Sahin Duran
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Correspondence to Sule Atalay Mert.

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As a hospital policy, before each procedure, written informed consent was obtained from each patient that gave permission to use the medical data anonymously for future studies. Ethics committee approval was not required as this study was a case report.

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Atalay Mert, S., Dilbaz, B., Ercan, E.E. et al. A Rare Case of the Cervical Endometriosis and Overview of the Literature. Reprod. Sci. 30, 2882–2886 (2023). https://doi.org/10.1007/s43032-023-01238-4

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  • DOI: https://doi.org/10.1007/s43032-023-01238-4

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