Clinical case of differential diagnosis of retrocervical endometriosis

С А Леваков, A.E. Mamedova, Gyullar Y. Azadova, Sergey V. Paukov
In: V.F.Snegirev Archives of Obstetrics and Gynecology · 2021 · vol. 8(2) · doi:10.17816/2313-8726-2021-8-2-109-115 · W3170279189
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report details the pathological and histological diagnosis of retrocervical endometriosis, highlighting the challenges in differential diagnosis due to secondary colon changes and lack of typical symptoms.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a clinical case focused on the differential diagnosis of retrocervical endometriosis, with diagnosis established through pathological and histological examination. The authors emphasize that identifying this form is difficult because the retrocervical/colonic region can show secondary changes and the condition may lack characteristic clinical manifestations. A major limitation noted is the complexity and diagnostic uncertainty inherent to this location, particularly given overlapping findings in adjacent structures. This paper is centrally about endometriosis — specifically retrocervical endometriosis and its pathological/histological-based differential diagnosis.

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Abstract

Endometriosis is a chronic hormone-dependent progressive disease characterized by the presence of ectopic endometrioid tissue. Most often, endometriosis affects the ovaries, fallopian tubes and the abdominal cavity, but endometrioid foci are also found in the intestines, heart, lungs, skin and other atypical localizations. This article presents a clinical case of retrocervical endometriosis diagnosed based on the results of pathological and histological examination. It is important to note the complexity of the differential diagnosis of this form of endometriosis due to secondary changes in the area of the colon and the absence of characteristic clinical manifestations.
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Abstract

Endometriosis is a chronic hormone-dependent progressive disease characterized by the presence of ectopic endometrioid tissue. Most often, endometriosis affects the ovaries, fallopian tubes and the abdominal cavity, but endometrioid foci are also found in the intestines, heart, lungs, skin and other atypical localizations. This article presents a clinical case of retrocervical endometriosis diagnosed based on the results of pathological and histological examination. It is important to note the complexity of the differential diagnosis of this form of endometriosis due to secondary changes in the area of the colon and the absence of characteristic clinical manifestations.

Keywords

Full Text About the authors Sergey A. Levakov I.M. Sechenov First Moscow State Medical University Email: [email protected] ORCID iD: 0000-0002-4591-838X MD, Dr. Sci. (Med.), Professor Russian Federation, MoscowAinur E. Mamedova I.M. Sechenov First Moscow State Medical University Author for correspondence. Email: [email protected] ORCID iD: 0000-0002-9642-4523 graduate student Russian Federation, MoscowGyullar Y. Azadova I.M. Sechenov First Moscow State Medical University Email: [email protected] ORCID iD: 0000-0002-4591-838X graduate student Russian Federation, MoscowSergey V. Paukov I.M. Sechenov First Moscow State Medical University Email: [email protected] MD, Cand. Sci. (Med.), assistant professor Russian Federation, MoscowReferences - Ishchenko AI, Kudrina EA. Endometriosis: diagnosis and treatment. Moscow: GEOTAR-Med; 2002. (In Russ). - Bien A, Rzońca E, Zarajczyk M, et al. Quality of life in women with endometriosis: a cross-sectional survey. 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Endometriosis of the intestinal tract: a study of 44 cases of a disease that may cause diverse challenges in clinical and pathologic evaluation. Am J Surg Pathol. 2001;25(4):445–454. doi: 10.1097/00000478-200104000-00003 - Gupta R, Singh AK, Farhat W, et al. Appendicular endometriosis: A case report and review of literature. Int J Surg Case Rep. 2019;64:94–96. doi: 10.1016/j.ijscr.2019.07.046 - Mostoufizadeh M, Scully RE. Malignant tumors arising in endometriosis. Clin Obstet Gynecol. 1980;23(3):951–963. - Parker RL, Dadmanesh F, Young RH, et al. Polypoid endometriosis: a clinicopathologic analysis of 24 cases and a review of the literature. Am J Surg Pathol. 2004;28(3):285–297. doi: 10.1097/00000478-200403000-00001 - Petersen V, Underwood JCE, Wells M, Shepherd NA. Primary endometrioid adenocarcinoma of the large intestine arising in colorectal endometriosis. Histopathology. 2002;40(2):171–176. doi: 10.1046/j.1365-2559.2002.01313.x - Yantiss RK, Clement PB, Young RH. 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