Congenital cervical diverticulum combined with abnormal uterine bleeding:a case report and literature review
He Yuyin
Cheng Hui
Liu Mengying
Wang Chen
Ye Mingzhu
Sun Xin
Abstract：Uterine diverticulum is a rare uterine malformation,which is rarely reported in domestic and foreign literature.Its clinical manifestations lack specificity and can easily lead to misdiagnosis or missed diagnosis.This article explores the diagnostic strategy and individualized treatment mode of this disease through a typical case.The patient,a 32 year old female,presented with the main complaint of"prolonged menstrual period for more than 2 years and vaginal bleeding for 2 months".Transvaginal four-dimensional ultrasound and pelvic magnetic resonance imaging suggest a depression on the anterior wall of the cervix,which is further confirmed by hysteroscopy as cervical diverticulum.The patient underwent cervical diverticulectomy under laparoscopy,during which the diverticulum was completely removed and the cervical muscle layer defect was repaired.After a 6-month follow-up,the patient's menstrual cycle returned to normal.Congenital cervical diverticulum is a rare disease with non-specific clinical symptoms that require differential diagnosis through multimodal imaging combined with hyste-roscopy.Congenital cervical diverticulum is commonly characterized by abnormal uterine bleeding and infertility,which can be easily confused with other gynecological diseases.It is recommended to combine imaging and endoscopic examination to achieve accurate diagnosis,and choose personalized surgical plans based on the patient's reproductive needs.This case provides important reference for clinical treatment of such rare diseases.
Keywords：Congenital cervical diverticulumPrimary infertilityAbnormal uterine bleedingLaparoscopic surgery
Publication Date：2025-09-18
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 1412-1414 )