Challenges in the Diagnosis and Management of Cervical Endometriosis

Study Objective To discuss the evaluation and management of cervical endometriosis. To demonstrate a surgical technique for localization and excision. Design Case presentation and review of literature with narrated video footage. Setting A tertiary care hospital and endometriosis referral center. Patients or Participants Case Presentation. Interventions We present a case of cervical endometriosis, which includes: • Physical exam findings and tips for diagnosis • Preoperative imaging • A surgical technique for intraoperative localization and excision • Review of literature Measurements and Main Results N/A Conclusion In summary, cervical endometriosis is important to consider in the patients with abnormal bleeding and chronic pelvic pain. Imaging and consultation with subspecialists may be necessary. There exists no consensus guidelines, but complete excision is imperative when undergoing surgical management.