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Gynecological Surgery

, Volume 13, Issue 2, pp 131–132 | Cite as

A pouch in the cervix: a strange diagnosis

  • Calagna GloriaEmail author
  • Ciavolino Giuseppe
  • Maruotti Giuseppe Maria
  • Donnarumma Vincenzo
  • Di Spiezio Sardo Attilio
Short Communication
  • 80 Downloads

Background

Anechoic cervical lesions are uncommon findings which may entail diagnostic and, therefore, management difficulties. Chronic cervicitis, bulky nabothian cysts, adenomyomas, niches (cesarean scar defects), congenital malformations, and pseudo-neoplastic glandular cervical lesions often raise diagnostic dilemmas; they may also mimic malignant lesions [1, 2, 3, 4]. Other anechoic images worth considering are those produced by cystic changes after cervical trauma, lacerations, or extremely rare false passages resulting from cervical dilatation [5].

Methods

We report a unique case of a cyst in the posterior cervical wall, as a possible result of a dilation and curettage (D&C) procedure. We describe the clinical and instrumental aspects of the differential diagnosis. To the best of our knowledge, this is the first reported case identified and documented by hysteroscopy.

Findings

A 31-year-old woman, gravidity 1, parity 0, was referred to our gynecological unit for a consultation,...

Keywords

Cervical cyst Abnormal uterine bleeding Hysteroscopy 

Supplementary material

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References

  1. 1.
    Singh N, Arora A (2014) An extreme case of chronic cervicitis mimicking cervical cancer and causing third-degree prolapse. J Gynecol Surg 30:380382 CrossRefGoogle Scholar
  2. 2.
    Sugiyama K, Takehara Y (2007) MR findings of pseudoneoplastic lesions in the uterine cervix mimicking adenoma malignum. Br J Radio 80:878883 CrossRefGoogle Scholar
  3. 3.
    Young RH, Clement PB (1991) Pseudoneoplastic glandular lesions of the uterine cervix. Semin Diagn Pathol 8:234249 PubMedGoogle Scholar
  4. 4.
    Bin Park S, Lee JH, Lee YH, Song MJ, Choi HJ (2010) Multilocular cystic lesions in the uterine cervix: broad spectrum of imaging features and pathologic correlation. AJR Am J Roentgenol 195:517523 CrossRefPubMedGoogle Scholar
  5. 5.
    Vilos GA, Vilos EC, King JH (1996) Experience with 800 hysteroscopic endometrial ablations. J Am Assoc Gynecol Laparosc 4:3338 CrossRefPubMedGoogle Scholar
  6. 6.
    Ho ML, Raptis C, Hulett R, et al. (2008) Adenomyotic cyst of the uterus in an adolescent. Pediatr Radiol 38:12391242 CrossRefPubMedGoogle Scholar
  7. 7.
    Calagna G, Cucinella G, Tonni G, et al. (2015) Cystic adenomyosis spreading into subserosal-peduncolated myoma: how to explain it? Int J Surg Case Rep 8:29–23CrossRefPubMedCentralGoogle Scholar
  8. 8.
    Gordts S, Campo R, Brosens I (2014) Hysteroscopic diagnosis and excision of myometrial cystic adenomyosis. Gynecol Surg 11:273278 CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Calagna Gloria
    • 1
    Email author
  • Ciavolino Giuseppe
    • 2
  • Maruotti Giuseppe Maria
    • 3
  • Donnarumma Vincenzo
    • 2
  • Di Spiezio Sardo Attilio
    • 3
  1. 1.Obstetrics and Gynecology, University of PalermoPalermoItaly
  2. 2.Obstetrics and GynecologyCasa di Cura “Maria Rosaria”PompeiItaly
  3. 3.Department of Neuroscience and Reproductive and Odontostomatological SciencesUniversity of Naples “Federico II”NaplesItaly

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