title: Management of pregnancy in woman with suspected malignant deep infiltrating endometriosis fistulised to the uterine cervix.
abstract: Deep infiltrating endometriosis (DIE) is a well-known cause of pelvic pain and infertility. Malignant transformation of DIE is rare but can be suggested by MRI. We report a case of a spontaneous pregnancy in a woman with suspicion of malignant transformation of DIE with fistulisation to the posterior uterine isthmus through to the cervical canal. The pregnancy was closely monitored and an uneventful caesarian section was performed at 34 weeks of gestation. This case raises the issue of the relevance of imaging techniques and management of pregnancy.
authors.affiliation: Service de Gynécologie-obstétrique et Médecine de la Reproduction, Hôpital Tenon, Paris, France.
authors.forename: Frederic
authors.initials: F
authors.lastname: Richard
authors.affiliation: Service de Gynécologie-obstétrique et Médecine de la Reproduction, Hôpital Tenon, Paris, France.
authors.forename: Geoffroy
authors.initials: G
authors.lastname: Canlorbe
authors.affiliation: Service de Radiologie, Hôpital Tenon, Paris, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Bazot
authors.affiliation: Service de Gynécologie-obstétrique et Médecine de la Reproduction, Hôpital Tenon, Paris, France.
authors.forename: Emile
authors.initials: E
authors.lastname: Daraï
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000473:pathology*; D002585:Cesarean Section; D003937:Diagnosis, Differential; D016889:Endometrial Neoplasms / Q000150:complications* / Q000175:diagnosis; D004715:Endometriosis / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008297:Male; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D011296:Prenatal Diagnosis; D014591:Uterine Diseases / Q000175:diagnosis / Q000209:etiology*