The features of the course of retrocervical endometriosis

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Abstract

Relevance: Retrocervical endometriosis is one of the severe forms of endometriosis due to the increased risk of involvement of the adjacent organs, namely the intestines. This phenotype of endometriosis as well as others has nonspecific symptoms, therefore, it is difficult to diagnose it with ultrasound examination of the pelvic organs, unlike endometrioid ovarian cysts. According to the Russian clinical guidelines, it is possible to use magnetic resonance imaging of the pelvic organs for a more detailed assessment of the affected sites if deep infiltrative endometriosis is suspected. Taking a patient’s medical history and making a physical examination should be complemented by radio diagnostic assessment performed by the experts in the field of pelvic organ studies; thus, it becomes possible to assess the degree of invasion and choose the right tactics for the management of patients.

Case report: The article presents a clinical observation of the progression of retrocervical endometriosis combined with endometrioid ovarian cysts. It was possible to manage the patient conservatively when she presented to the hospital due to a comprehensive diagnosis, the size of endometrioid cysts and the absence of involvement of adjacent organs. However, low compliance and the lack of timely treatment led to the progression of the disease and the need for surgery.

Conclusion: The various methods for diagnosing endometriosis aimed at timely detection of the disease can be improved in order to avoid the negative consequences of endometriosis and reduce the number of operations in a woman’s life.

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About the authors

Patimat M. Alieva

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Author for correspondence.
Email: aalievapm@gmail.com

obstetrician-gynecologist, postgraduate student at the Department of Gynecological Endocrinology

Russian Federation, 117997, Moscow, Academician Oparin str., 4

Madina R. Dumanovskaya

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: m_dumanovskaya@oparina4.ru
ORCID iD: 0000-0001-7286-6047

PhD, Researcher, Gynecological Endocrinology Department

Russian Federation, 117997, Moscow, Academician Oparin str., 4

Alina E. Solopova

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: a_solopova@oparina4.ru
ORCID iD: 0000-0003-4768-115X

Dr.Med. Sci., Associate Professor, Leading Researcher, Department of Radiology

Russian Federation, 117997, Moscow, Academician Oparin str., 4

Antonina A. Smetnik

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: a_smetnik@oparina4.ru
ORCID iD: 0000-0002-0627-3902

PhD, Head of the Department of Gynecological Endocrinology

Russian Federation, 117997, Moscow, Academician Oparin str., 4

Vladimir D. Chuprynin

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: v_chuprynin@oparina4.ru

PhD, Head of the Surgical Department

Russian Federation, 117997, Moscow, Academician Oparin str., 4

Stanislav V. Pavlovich

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: s_pavlovich@oparina4.ru
ORCID iD: 0000-0002-1313-7079

PhD, Academic Secretary, Professor, Department of Obstetrics, Gynecology

Russian Federation, 117997, Russia, Moscow, Academician Oparin str., 4; 119991, Moscow, Trubetskaya str., 8-2

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