Successful management of a massive hemorrhage due to rupture of cystic cervical endometriosis by a loop electrosurgical excision procedure
Case report
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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
OBJECTIVE: To 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).
DESIGN: Case report.
SETTING: University Hospital.
PATIENT: A 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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References (9)
- Cervical endometriosis: facilitated diagnosis by fine needle aspiration cytologic testing via openalex
- Cervical endometriosis presented as a polypoid mass of portio cervix uteri via openalex
- [Combined treatment of retrocervical, cervical and vaginal endometriosis using CO2 laser, cryosurgery and electrocoagulation] via openalex
- Extracts from the "clinical evidence". Endometriosis via openalex
- Persistent post-coital bleeding due to cervical endometriosis via openalex
- Superficial endometriosis of the uterine cervix: a report of 20 cases of a process that may be confused with endocervical glandular dysplasia or adenocarcinoma in situ via openalex
- Uterus-like mass in the uterine cervix: superficial cervical endometriosis with florid smooth muscle metaplasia? via openalex
- W3144701148 via openalex
- W6603806852 via openalex
Cited by (11)
- Cervical Chocolate Cyst–Case Report of a Rare Case of Cervical Endometriosis 2025
- Gonadotropin-releasing hormone agonist contributes to the successful implementation of in vitro fertilization in a patient with cervical endometriosis: a case report 2023
- Cervikalna endometrioza – prikaz primera in pregled literature 2022
- Endometriosis cervical. Presentación de un caso 2012
- Intrapartum uterine rupture associated with a scarred cervix because of a previous rupture of cystic cervical endometriosis 2011
- Cervical Endometriosis in a Post-menopausal Woman: A Case Report 2011
- Cervical endometriosis: clinical character and management experience in a 27-year span 2011
- Sonographic diagnosis of a large and deep endometrioma of the uterine cervix 2010
- Cervical endometriosis: case series and review of literature 2010
- Unusual manifestations and complications of endometriosis--spectrum of imaging findings: pictorial review 2010
- [Deep cervical endometriosis causing profuse vaginal bleeding. Case report and literature review] 2009
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- europepmc
- last seen: 2026-10-15T06:08:49.021275+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:04:31.715410+00:00
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