A pouch in the cervix: a strange diagnosis
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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 .
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.
KeywordsCervical cyst Abnormal uterine bleeding Hysteroscopy
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