Cervical Endometriosis – Case Report and Review of Literature

Raluca Gabriela SUBA, Ion IONUT, Octavian Enciu, Bogdan Marinescu
In: Medicina Moderna - Modern Medicine · 2019 · vol. 26(1) , pp. 41–45 · doi:10.31689/rmm.2019.26.1.41 · W2929520563
article OA: diamond CC0 ⤵ 3 in-corpus citations
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This case report details the successful laparoscopic treatment of secondary cervical endometriosis in a young woman, demonstrating improved quality of life two years post-surgery.

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Abstract

Endometriosis became a public health problem both due to the increasing number of affected patients and the severe quality of life impairment. Cervical endometriosis is defi ned as the presence of endometrial glands and stroma at cervical level. Primary and secondary cervical endometriosis are two separates entities that require distinct management. Symptomatic cases diagnosed with primary cervical endometriosis have indication for ERAD while patients with secondary cervical endometriosis should be referred to a specialized center because the surgical treatment may imply a high degree of diffi culty. We present a 24-year-old woman with no history of cervical interventions, fi rst diagnosed with cervical displasia and referred to our center for a second opinion. Secondary cervical endometriosis and vaginal endometriotic nodule were diagnosed. Following the general consensus for the benefi ts of surgery for endometriosis associated with pelvic pain, the patient was considered a candidate for laparoscopic surgery. Complete resection of the endometriotic tissue including the vaginal nodule with laparoscopic suture of the vaginal wall was realized. Laparoscopic surgery for endometriosis is proven to improve the patients' quality of life, diminishing the symptoms and increases the likelihood of obtaining a spontaneous pregnancy. The presented case illustrates the benefi ts of surgery for secondary cervical endometriosis with marker improvement in quality of life proven with EHP-30 up to 2 years after surgery.

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Outcome instruments

EHP-30

Condition tags

endometriosis

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