Uterine cervical diverticulum resembling a degenerated leiomyoma

BACKGROUND: Uterine diverticulum is a very rare anomaly. Most previously reported cases were called "pregnancy-associated sacculations," and only 2 cases were considered true uterine diverticula. CASE: A 41-year-old woman presented with fever and lower abdominal pain. An extrauterine mass was detected, and a hysterectomy was performed. Pathological examination revealed a cystic uterine diverticulum lined with cervical glands and myometrium. arising from the cervix. The final diagnosis was an infected uterine cervical diverticulum. CONCLUSION: Cervical diverticulum. is a rare lesion that should be added to the differential diagnosis of a woman presenting with a pelvic mass. (C) 2004 by The American College of Obstetricians and Gynecologists.