Case Report


Cervical endometriosis in pregnancy: A rare cause of bleeding in pregnancy

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1 Department of Obstetrics and Gynecology, State University of New York, Downstate Health Sciences University, Brooklyn, New York, USA

2 St. George’s University School of Medicine, West Indies, Grenada

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Nawras Zayat

MD, Department of Obstetrics and Gynecology, State University of New York, Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203,

USA

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Article ID: 100151Z08NZ2023

doi: 10.5348/100151Z08NZ2023CR

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How to cite this article

Zayat N, Chabanne AM, Adeyemo I. Cervical endometriosis in pregnancy: A rare cause of bleeding in pregnancy. J Case Rep Images Obstet Gynecol 2023;9(1):75–78.

ABSTRACT


Introduction: Cervical endometriosis is a very rare site for endometriosis, with a reported incidence of 0.11–2.4%.

Case Report: We present a histologically proven case of cervical endometriosis in a 33-year-old pregnant woman who presented with post-coital bleeding during the first trimester of her pregnancy, with subsequent spontaneous regression, and successful vaginal delivery.

Conclusion: This case emphasizes the importance of a thorough pelvic examination in patients presenting with bleeding in early pregnancy and biopsy of any lesions as long as it is safe. Cervical endometriosis should be added to the list of differential diagnoses of bleeding in pregnancy after the more common causes have been excluded.

Keywords: Cervical endometriosis, Cervical mass, Pregnancy, Vaginal bleeding

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Acknowledgments

We would like to acknowledge and thank the patient who graciously allowed us to share her story in this article so that it may inform future obstetrical and gynecologic care.

Author Contributions

Nawras Zayat - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Ariane M Chabanne - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published

Ishola Adeyemo - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2023 Nawras Zayat et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.