Fertility and sterility · 2007
Successful management of a massive hemorrhage due to rupture of cystic cervical endometriosis by a loop electrosurgical excision procedure.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Iwase Akira, Goto Maki, Kurotsuchi Shozo, Harata Toko, Kaseki Shigeaki, Kikkawa Fumitaka
Аннотация
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.
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.