{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T00:01:31Z","timestamp":1793059291117,"version":"4.5.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>Primary uterine diverticula are a very rare congenital anomaly of the uterus with only 21 reported cases. Even rarer is the occurrence of primary cervical diverticula with only six cases reported so far. This is a unique case of a huge abdominopelvic mass arising from cervical fibroid around an infected cervical diverticulum. A 44 year-old, P4L4 came to the OPD with a eighteen weeks size abdomino-pelvic mass. She had a failed surgery 6 months back, attempted to remove the mass. Magnetic resonance imaging revealed a cervical diverticulum which possibly had a pus collection. Relaparotomy was done. It revealed a huge cervical fibroid with dense adhesions all around the mass. A pan hysterectomy was done. In the postoperative period, she developed high-grade fever owing to the development of a pelvic collection, which had to be drained by dilating the vault sutures. Histopathology report confirmed a cervical fibroid with an infected diverticulum within. Primary uterine or cervical diverticula are a very rare anamoly which possibly arise because of a weakness in the area where the two mullerian ducts fuse. Women with this rare condition may suffer from infertility, fever and pain abdomen, acute abdomen owing to torsion or hemoperitoneum, pregnancy complications, and menorrhagia. Diverticulectomy and cervical\/uterine reconstruction can be done on nulliparous women while hysterectomy can be offered to perimenopausal women. To conclude, unless known by the gynecologists, radiologists, and the pathologists, this diagnosis can be easily missed out, leading to multiple preventable complications.<\/jats:p>","DOI":"10.4103\/jmh.jmh_119_22","type":"journal-article","created":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T09:01:00Z","timestamp":1688720460000},"page":"42-45","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Huge Abdominopelvic Mass Arising from Cervical Fibroid around an Infected Cervical Diverticulum: A Very Rare Case and a Review of Literature"],"prefix":"10.4103","volume":"14","author":[{"given":"Arpita","family":"De","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reva","family":"Tripathi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhinav","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Hamdard Institute of Medical Sciences and Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safia","family":"Rana","sequence":"additional","affiliation":[{"name":"Department of Pathology, Hamdard Institute of Medical Sciences and Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,7]]},"reference":[{"key":"R1-20240906","first-page":"734","article-title":"True uterine diverticulum. A partial m\u00fcllerian duct duplication?","volume":"108","author":"Engel","year":"1984","journal-title":"Arch Pathol Lab Med"},{"key":"R2-20240906","doi-asserted-by":"crossref","first-page":"W71","DOI":"10.2214\/AJR.07.3679","article-title":"Uterine diverticula and accessory ducts","volume":"191","author":"Evan","year":"2008","journal-title":"AJR Am J Roentgenol"},{"key":"R3-20240906","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1016\/j.jogc.2017.04.033","article-title":"Uterine diverticulum with fetal leg entrapment:A case report","volume":"39","author":"Chandrasekaran","year":"2017","journal-title":"J Obstet Gynaecol Can"},{"key":"R4-20240906","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.ijgo.2010.01.013","article-title":"Uterine diverticulum complicating pregnancy diagnosed by ultrasound and uteroscopy","volume":"109","author":"Sun","year":"2010","journal-title":"Int J Gynaecol Obstet"},{"key":"R5-20240906","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s12884-020-03505-7","article-title":"Enlarged uterine fibroid forming uterine diverticulum during pregnancy:A case report","volume":"21","author":"Akashi","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"R6-20240906","doi-asserted-by":"crossref","first-page":"372","DOI":"10.4103\/0377-4929.101748","article-title":"Huge uterine-cervical diverticulum mimicking as a cyst","volume":"55","author":"Chufal","year":"2012","journal-title":"Indian J Pathol Microbiol"},{"key":"R7-20240906","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1080\/01443615.2019.1588237","article-title":"Huge uterine fibroid arising from primary uterine cervical diverticulum:A case report and review of the literatures","volume":"39","author":"Noguchi","year":"2019","journal-title":"J Obstet Gynaecol"},{"key":"R8-20240906","doi-asserted-by":"crossref","first-page":"1130","DOI":"10.1097\/01.AOG.0000121831.46782.76","article-title":"Uterine cervical diverticulum resembling a degenerated leiomyoma","volume":"103","author":"Umezaki","year":"2004","journal-title":"Obstet Gynecol"},{"key":"R9-20240906","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1097\/AOG.0b013e31818da0b9","article-title":"Uterine diverticulum","volume":"113","author":"Rajiah","year":"2009","journal-title":"Obstet Gynecol"},{"key":"R10-20240906","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S0015-0282(01)02923-5","article-title":"Primary infertility associated with isolated cervical collecting diverticulum","volume":"77","author":"Seoud","year":"2002","journal-title":"Fertil Steril"},{"key":"R11-20240906","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/S0002-9378(03)00809-3","article-title":"Hysteroscopy and three-dimensional ultrasonography in uterine diverticulum diagnosis:A case report","volume":"190","author":"Schmidt","year":"2004","journal-title":"Am J Obstet Gynecol"},{"key":"R12-20240906","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.ijgo.2010.07.014","article-title":"Uterine cervical diverticulum containing a blood clot","volume":"111","author":"Bai","year":"2010","journal-title":"Int J Gynaecol Obstet"},{"key":"R13-20240906","doi-asserted-by":"crossref","first-page":"1460","DOI":"10.1111\/jog.14255","article-title":"Successful pregnancy and vaginal delivery after laparoscopic excision of a congenital uterine cervical diverticulum:A case report","volume":"46","author":"Tanaka","year":"2020","journal-title":"J Obstet Gynaecol Res"},{"key":"R14-20240906","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.ejogrb.2006.11.011","article-title":"Cervical diverticulum:An unusual cause of chronic menometrorrhagia","volume":"137","author":"Coronado","year":"2008","journal-title":"Eur J Obstet Gynecol Reprod Biol"}],"container-title":["Journal of Mid-life Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmh.jmh_119_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:11:45Z","timestamp":1787760705000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmh.jmh_119_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jmh.jmh_119_22","relation":{},"ISSN":["0976-7800","0976-7819"],"issn-type":[{"value":"0976-7800","type":"print"},{"value":"0976-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"assertion":[{"value":"2022-07-03","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}