The features of the course of retrocervical endometriosis

Alieva P.M., Dumanovskaya M.R., Solopova A.E., Smetnik A.A., Chuprynin V.D., Pavlovich S.V.

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

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.

Authors’ contributions: Alieva P.M., Dumanovskaya M.R., Solopova A.E. – collecting and processing material, writing the text; Smetnik A.A., Chuprynin V.D., Pavlovich S.V. – editing the text.
Conflicts of interest: Authors declare lack of the possible conflicts of interests.
Funding: The study was conducted without sponsorship.
Ethical Approval: The study was approved by the Ethical Review Board of the Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia.
Patient Consent for Publication: The patient provided an informed consent for the publication of her data and associated images.
For citation: Alieva P.M., Dumanovskaya M.R., Solopova A.E., Smetnik A.A., Chuprynin V.D., Pavlovich S.V. The features of the course of retrocervical endometriosis.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2024; (2): 157-164 (in Russian)


conservative therapy
surgical treatment


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Received 18.09.2023

Accepted 22.01.2024

About the Authors

Patimat M. Alieva, obstetrician-gynecologist, postgraduate student at the Department of Gynecological Endocrinology, Academician V.I. Kulakov NMRC for OG&P,
Ministry of Health of Russia, 117997, Russia, Moscow, Academician Oparin str., 4,
Madina R. Dumanovskaya, PhD, Researcher, Gynecological Endocrinology Department, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia,
117997, Russia, Moscow, Oparina str., 4,,
Alina E. Solopova, Dr. Med. Sci., Associate Professor, Leading Researcher, Department of Radiology, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia, 117997, Russia, Moscow, Academician Oparin str., 4,,
Antonina A. Smetnik, PhD, Head of the Department of Gynecological Endocrinology, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia,
117997, Russia, Moscow, Academician Oparin str., 4,,
Vladimir D. Chuprynin, PhD, Head of the Surgical Department, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, 117997, Russia, Moscow, Academician Oparin str., 4, +7(495)438-35-75,
Stanislav V. Pavlovich, PhD, Academic Secretary, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia,
117997, Russia, Moscow, Academician Oparin str., 4; Professor, Department of Obstetrics, Gynecology, Perinatology and Reproductology, I.M. Sechenov First MSMU,
Ministry of Health of Russia (Sechenov University), 119991, Russia, Moscow, Trubetskaya str., 8-2,,

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