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).
DESIGN:Case report.
SETTING:University Hospital.
PATIENT:A 37-year-old nulliparous woman.
INTERVENTION(S):Medical management including surgical treatment.
MAIN OUTCOME MEASURE(S):Clinical follow-up and pathologic diagnosis.
RESULT(S):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.
CONCLUSION(S):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.
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【Successful management of a massive hemorrhage due to rupture of cystic cervical endometriosis by a loop electrosurgical excision procedure.].
【通过循环电外科切除术成功治疗由于囊性宫颈内异症破裂而引起的大量出血。】
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DOI：10.1016/j.fertnstert.2007.04.011文章类型：杂志文章
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目的：报道一例因囊肿破裂而导致大出血的囊性宫颈子宫内膜异位症患者，并采用环行电外科切除术（LEEP）成功治疗。
设计：病例报告。
单位：大学医院。
患者：一位37岁的未产妇。
干预措施：医疗管理，包括外科治疗。
主要观察指标：临床随访和病理诊断。
结果：出血的囊性宫颈肿块被紧急LEEP切除。发现该肿块是宫颈子宫内膜异位症。直到切除后1年，才有复发的迹象。
结论：尽管通常子宫内膜异位症无症状，但很少发生膀胱内膜异位症的囊性形成（如卵巢内膜瘤，由于破裂而引起大量出血）。在这种情况下，可以考虑行子宫切除术，但可以通过合并子宫部分切除的LEEP手术来避免。
设计：病例报告。
单位：大学医院。
患者：一位37岁的未产妇。
干预措施：医疗管理，包括外科治疗。
主要观察指标：临床随访和病理诊断。
结果：出血的囊性宫颈肿块被紧急LEEP切除。发现该肿块是宫颈子宫内膜异位症。直到切除后1年，才有复发的迹象。
结论：尽管通常子宫内膜异位症无症状，但很少发生膀胱内膜异位症的囊性形成（如卵巢内膜瘤，由于破裂而引起大量出血）。在这种情况下，可以考虑行子宫切除术，但可以通过合并子宫部分切除的LEEP手术来避免。
