Lateral cervical displacement is associated with endometriosis

OBJECTIVE: To report on a series of cases of lateral cervical displacement and uterosacral ligament scarring associated with endometriosis. DESIGN: Case series. SETTING: Academic medical center. PATIENT(S): Three nulliparous women with chronic pelvic pain, lateral cervical displacement, and uterosacral nodularity. INTERVENTION(S): Physical examination to evaluate for lateral cervical displacement. Laparoscopic surgery to evaluate for endometriosis and uterosacral ligament involvement. MAIN OUTCOME MEASURE(S): Displacement of the entire cervix lateral to the midline of the vagina. Presence of endometriosis on the affected uterosacral ligament. RESULT(S): All three patients had lateral cervical displacement and implants of endometriosis and scarring on the uterosacral ligament ipsilateral to the displaced cervix. CONCLUSION(S): In women with pelvic pain, lateral cervical displacement due to uterosacral scarring may be a physical finding associated with endometriosis.