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Lateral cervical displacement is associated with endometriosis.

OBJECTIVE: To report on a series of cases of lateral cervical displacement and uterosacral ligament scarring associated with endometriosis.

DESIGN: Case series.

SETTING: Academic medical center.

PATIENT(S): Three nulliparous women with chronic pelvic pain, lateral cervical displacement, and uterosacral nodularity.

INTERVENTION(S): Physical examination to evaluate for lateral cervical displacement. Laparoscopic surgery to evaluate for endometriosis and uterosacral ligament involvement.

MAIN OUTCOME MEASURE(S): Displacement of the entire cervix lateral to the midline of the vagina. Presence of endometriosis on the affected uterosacral ligament.

RESULT(S): All three patients had lateral cervical displacement and implants of endometriosis and scarring on the uterosacral ligament ipsilateral to the displaced cervix.

CONCLUSION(S): In women with pelvic pain, lateral cervical displacement due to uterosacral scarring may be a physical finding associated with endometriosis.

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