Case report.
University Hospital.
A 37-year-old nulliparous woman.
Medical management including surgical treatment.
Clinical follow-up and pathologic diagnosis.
A hemorrhagic cystic cervical mass was excised with emergent LEEP. The mass was found to be cervical endometriosis. There was no evidence of recurrence until 1 year after excision.
Cystic formation of cervical endometriosis—like ovarian endometrioma, which causes a massive hemorrhage due to rupture—is extremely rare, although cervical endometriosis is generally asymptomatic. Hysterectomy is considered in such cases but can be avoided via LEEP that incorporates partial excision of the uterine cervix.