Lateral cervical displacement is associated with endometriosis
A M Propst1, K Storti, R L Barbieri
1Department of Obstetrics and Gynecology, Brigham and Women's Hospital-Harvard Medical School, Boston, Massachusetts 02115, USA.
Objective:
To report on a series of cases of lateral cervical displacement and uterosacral ligament scarring associated with endometriosis.
Design:
Case series.
Setting:
Academic medical center.
Patient(S):
Three nulliparous women with chronic pelvic pain, lateral cervical displacement, and uterosacral nodularity.
Intervention(S):
Physical examination to evaluate for lateral cervical displacement. Laparoscopic surgery to evaluate for endometriosis and uterosacral ligament involvement.
Main Outcome Measure(S):
Displacement of the entire cervix lateral to the midline of the vagina. Presence of endometriosis on the affected uterosacral ligament.
Result(S):
All three patients had lateral cervical displacement and implants of endometriosis and scarring on the uterosacral ligament ipsilateral to the displaced cervix.
Conclusion(S):
In women with pelvic pain, lateral cervical displacement due to uterosacral scarring may be a physical finding associated with endometriosis.
