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


METHODS
Case report.


METHODS
University Hospital.


METHODS
A 37-year-old nulliparous woman.


METHODS
Medical management including surgical treatment.


METHODS
Clinical follow-up and pathologic diagnosis.


RESULTS
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.


CONCLUSIONS
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.
Iwase
Akira
A
Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, Nagoya, Japan. akiwase@med.nagoya-u.ac.jp
Goto
Maki
M
Kurotsuchi
Shozo
S
Harata
Toko
T
Kaseki
Shigeaki
S
Kikkawa
Fumitaka
F
D000328:Adult; D003560:Cysts / Q000150:complications* / Q000209:etiology / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D004598:Electrosurgery; D004632:Emergency Medical Services; D004715:Endometriosis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D012008:Recurrence; D012421:Rupture; D016896:Treatment Outcome; D002577:Uterine Cervical Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014592:Uterine Hemorrhage / Q000209:etiology / Q000473:pathology / Q000601:surgery*