[Chronic pelvic pain and cervical endometriosis after a subtotal hysterectomy].
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This case report details cervical endometriosis developing after a subtotal hysterectomy, potentially due to endometrial tissue seeding during prior uterine curettage.
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Abstract
The ectopic location of endometrial glands and stroma may cause the formation of a tumor known as endometrioma. It almost always occurs in the ovary, and due to its characteristic appearance has been called "chocolate cyst". Cervical localization of this disease is extremely rare, and when it occurs, tends to be an exocervical and/or endocervical injury, as a result of cervical procedures. We communicate the case of a patient with cystic endometriosis in the cervix after a subtotal abdominal hysterectomy, performed by obstetric hemorrhage. Even though there have been reports about cases of cervical endometriosis, most of them have been reported as superficial cervical endometriosis and as a discovery after a total hysterectomy or cervical biopsy, in some cases even with original diagnosis ofAGUS (atypical glandular cells of undetermined significance). We concluded that in this case, instrumented uterine curettage and subtotal hysterectomy by obstetric indication are a possible origin of cervical endometriosis, due to "seeding" endometrial tissue during the curettage in a friable cervix.
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References (7)
- Cervical endometriosis, a case presenting with intractable spotting. via openalex
- Cervical Endometriosis Following Large Loop Excision of the Transformation Zone via openalex
- Cervical endometriosis presented as a polypoid mass of portio cervix uteri. via openalex
- [Deep cervical endometriosis causing profuse vaginal bleeding. Case report and literature review]. via openalex
- Persistent post-coital bleeding due to cervical endometriosis via openalex
- W2003902412 via openalex
- W2042160296 via openalex
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- openalex
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- pubmed
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