Abstract
Background: Cervical cone biopsy is a common simple surgical procedure for cervical intraepithelial neoplasia and cervical microinvasive carcinoma, with post-surgical bleeding being a common complication. ----Case Report: A 30-year-old woman with a history of cone biopsy two years prior complained of cyclic genital bleeding during the luteal phase of menstruation for more than a year. She was diagnosed with cervical scar endometriosis after cone biopsy. Electric ablation suppressed her long-term atypical genital bleeding, which caused her discomfort. Conclusion: The authors treated a rare case of uterine cervical endometriosis after cone biopsy. We should consider ectopic scar endometriosis during the differential diagnosis of atypical bleeding in women who have had a cone biopsy.
Highlights
Uterine cervical cone biopsy is a common surgical procedure for cervical intraepithelial neoplasia and cervical microinvasive carcinoma
Most cases of scar endometriosis occur at the site of skin incision after obstetrics or gynecological surgeries, such as cesarean section or hysterectomy, and its pathogenesis can be explained by the implantation theory [7]
Scar endometriosis following cone or punch biopsy of the cervix is a rare condition, and in many cases, it is an incidental finding after hysterectomy or cone biopsy [8]
Summary
Summary Background: Cervical cone biopsy is a common simple surgical procedure for cervical intraepithelial neoplasia and cervical microinvasive carcinoma, with post-surgical bleeding being a common complication. Case Report: A 30-year-old woman with a history of cone biopsy two years prior complained of cyclic genital bleeding during the luteal phase of menstruation for more than a year. She was diagnosed with cervical scar endometriosis after cone biopsy. Electric ablation suppressed her long-term atypical genital bleeding, which caused her discomfort. We should consider ectopic scar endometriosis during the differential diagnosis of atypical bleeding in women who have had a cone biopsy
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