2009, Number 11
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Ginecol Obstet Mex 2009; 77 (11)
Deep cervical endometriosis causing profuse vaginal bleeding. Case report and literature review
Olivas MG, Miranda CFJ, Hernández M, Olivas MSC, Mata OVM
Language: Spanish
References: 11
Page: 518-522
PDF size: 398.80 Kb.
ABSTRACT
It is reported the case of a patient with cervical endometriosis deep in the fourth decade of life, with regular menstruation, dysmenorrhea secondary progressive, disabling, dyspareunia, and chronic pelvic pain, disquesia in the last three years. Was presented in the emergency on the twentieth day of the menstrual cycle due to an abrupt and substantial transvaginal bleeding, and led to acute anemia. In gynecological exploration was observed in the posterior lip of the cervix and glandular eversion had a solitary lesion in a punch, with active bleeding from the interior of the lesion, independent of the external cervical os and the endocervical canal. The rest of the colposcopy was normal. Total hysterectomy was performed and the histopathologic report was of deep cervical endometriosis, adenomyosis and hemorrhagic salpingitis left.
REFERENCES
Benagiano G. History of adenomiosis. Best Practice and Research Clinical Obstetrics and Gynaecology 2006;20(4):449-63.
Fritel X. Endometriosis anatomoclinical entities. J Gynecol Obstet Biol Reprod 2007;36(2):113-8.
Bulun ES. Mechanisms of disease endometriosis. N England J Med 2009;360:268-70.
Wang G, Tokushige N, Markham R, Fraser IS. Rich innervations of deep infiltrating endometriosis. Hum Reprod 2009; Jan 16. (Epub ahead of print Advance Access Oxford Journals).
Ata B, Ates U, Taner U, Attar E. Cervical endometriosis, a case presenting with intractable spotting. Med Gen Med 2005;7(2):64.
Baker PM, Clement PB, Bell DA, et al. 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. Int J Gynecol Pathol 1999;18:198-205.
Clement BP. The Pathology of endometriosis. A survey of the many faces of a common disease emphasizing diagnostic pitfalls and unusual and newly appreciated aspects. Adv Anat Pathol 2007;14:241-60.
Iwase A, Goto M, Kurotsuchi SH, Harata T. Successful management of massive hemorrhage due to rupture of cystic cervical endometriosis by a loop electrosurgical excision procedure. Fertil Steril 2008;89(4).
Yokota N, Yoshida H, Sakakibara H, Inayama Y, Hirahara F. A severe vaginal hemorrhage caused by cervical endometriosis. Am J Obstet Gynecol 2008.
Ismail SM. Cone biopsy causes cervical endometriosis and tuboendometrioid metaplasia. Histopathology 1991;18:107-14.
Asher MS. Nabothian cysts. In: Hricak H, editor. Diagnostic imaging: Gynecology. Secc. 3, p. 60.