Successful management of a massive hemorrhage due to rupture of cystic cervical endometriosis by a loop electrosurgical excision procedure

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A massive hemorrhage from a ruptured cystic cervical endometriosis was successfully managed using a loop electrosurgical excision procedure.

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Abstract

ObjectiveTo report a case of cystic cervical endometriosis that caused a massive hemorrhage due to rupture of a cyst and successful management with a loop electrosurgical excision procedure (LEEP).DesignCase report.SettingUniversity Hospital.PatientA 37-year-old nulliparous woman.Intervention(s)Medical management including surgical treatment.Main outcome measure(s)Clinical follow-up and pathologic diagnosis.Result(s)A hemorrhagic cystic cervical mass was excised with emergent LEEP. The mass was found to be cervical endometriosis. There was no evidence of recurrence until 1 year after excision.Conclusion(s)Cystic formation of cervical endometriosis--like ovarian endometrioma, which causes a massive hemorrhage due to rupture--is extremely rare, although cervical endometriosis is generally asymptomatic. Hysterectomy is considered in such cases but can be avoided via LEEP that incorporates partial excision of the uterine cervix.

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Condition tags

endometriosis

MeSH descriptors

Cysts Electrosurgery Endometriosis Uterine Cervical Diseases Uterine Hemorrhage Adult Cysts Cysts Cysts Cysts Diagnosis, Differential Emergency Medical Services Endometriosis Endometriosis Endometriosis Endometriosis Female Humans Magnetic Resonance Imaging Recurrence

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