Lateral cervical displacement is associated with endometriosis.
OBJECTIVE
To report on a series of cases of lateral cervical displacement and uterosacral ligament scarring associated with endometriosis.


METHODS
Case series.


METHODS
Academic medical center.


METHODS
Three nulliparous women with chronic pelvic pain, lateral cervical displacement, and uterosacral nodularity.


METHODS
Physical examination to evaluate for lateral cervical displacement. Laparoscopic surgery to evaluate for endometriosis and uterosacral ligament involvement.


METHODS
Displacement of the entire cervix lateral to the midline of the vagina. Presence of endometriosis on the affected uterosacral ligament.


RESULTS
All three patients had lateral cervical displacement and implants of endometriosis and scarring on the uterosacral ligament ipsilateral to the displaced cervix.


CONCLUSIONS
In women with pelvic pain, lateral cervical displacement due to uterosacral scarring may be a physical finding associated with endometriosis.
Department of Obstetrics and Gynecology, Brigham and Women's Hospital-Harvard Medical School, Boston, Massachusetts 02115, USA.
A M
AM
Propst
K
K
Storti
R L
RL
Barbieri
D000328:Adult; D002584:Cervix Uteri / Q000002:abnormalities*; D002921:Cicatrix / Q000473:pathology; D004715:Endometriosis / Q000473:pathology*; D005260:Female; D006801:Humans; D008022:Ligaments / Q000473:pathology