Cervical endometriosis in pregnancy: A rare cause of bleeding in pregnancy

Abstract

Introduction: Cervical endometriosis is a very rare site for endometriosis, with a reported incidence of 0.11–2.4%. Case Report: We present a histologically proven case of cervical endometriosis in a 33-year-old pregnant woman who presented with post-coital bleeding during the first trimester of her pregnancy, with subsequent spontaneous regression, and successful vaginal delivery. Conclusion: This case emphasizes the importance of a thorough pelvic examination in patients presenting with bleeding in early pregnancy and biopsy of any lesions as long as it is safe. Cervical endometriosis should be added to the list of differential diagnoses of bleeding in pregnancy after the more common causes have been excluded.